WALWORTH COUNTY GENEALOGICAL SOCIETYMembership FormName__________________________________________________ Address________________________________________________ City_________________________________________ State_______ Zip+4___________ Phone number (including area code): (______) ______ - ____________ email address: ____________________________________________ ___________Individual $12.00 ____________Student $7.00 ____________Family $15.00 Surnames you are searching: I would be willing to help with the following projects: _______Cemetery copying ________Indexing Other: I would like to see the following projects completed: I do______ do not______ give my permission to have my information printed in any handouts, newsletters, or publications. Please send copies of your pedigree charts for future publications. Mail with your check to WCGS, PO Box 159, Delavan, WI 53115 Copyright 2013 Walworth County Genealogical Society
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