Iowa County Genealogical Society Membership Application Form

Dues are for calendar year Jan. 1 - Dec. 31

Complete and send, along with your payment to:

Iowa County Genealogical Society, P.O. Box 207, North English, Iowa 52316

Name _________________________________________________________________________

Street _________________________________________________________________________

City _______________ _______________________ State ______________ Zip ________________

Phone: (_____)-______-________ E-mail Address: ________________________________________

Individual @ $20 _________ Family @ $25 ________

I am a member of the Iowa Genealogical Society? Yes _____ No _____

I am researching the following surnames: _______________________________________________

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