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Name(s) ______________________________________________________________________________________________________
Maiden Name
_______________________________________________
Street ________________________________________________________________________________________Apt
# ___________
City _________________________________
State _________ Full Zip Code _________________
Home Phone # _________________________________________
Work Phone # __________________________________________
Former TGS member? Yes ______ No ______ Member number
__________
Amount
enclosed: $ _______________
Membership year is January
1 through December 31.
Membership rates are: Individual - $20.00; Family - $23.00;
Sustaining - $30.00 (or more).
Canadian applicants/members please add $10.00 for postage.
Optional donation for National Archives Fund: $1.00
Please mail completed
form (as above) plus a check or money order payable to:
Topeka Genealogical Society
PO Box 4048, Topeka,
KS, 66604-0048.
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