NAME_____________________________________________________________________________
ADDRESS__________________________________________________________________________
CITY______________________________________________________ STATE______ ZIP________
| NEW MEMBER ________ |
| RENEWAL ____________ |
LIST SURNAMES YOU ARE SEARCHING ______________________________________________
__________________________________________________________________________________
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DUES ARE $7.00 PER YEAR, make checks payable to -- and send to --
JACKSON COUNTY GENEALOGICAL CHAPTER
P.O. BOX 1065
MAQUOKETA, IOWA 52060