Martin County Genealogical Society Membership Application

Martin County Genealogical Society, Inc.  Membership January 1-December 31

304 E. Blue Earth Ave., Fairmont, MN 56031   507-235-5178 or mcgs@frontier.com

 

Name:_______________________________________                       Year:

                                                                Check #:

Address:_____________________________________             Date Received:   

                                                            [ ] New  [ ] Renewal
City:_________________State:______Zip:_________             [ ] $105 Patron
                                                            [ ] $55  Sustaining
                                                            [ ] $30  Contributing
Phone:______________________________________                [ ] $25  Family
                                                            [ ] $20  Individual
Email:______________________________________