Membership Application

People joining as a couple should both fill out the membership form. Thank you.

Name: *

First

Last

Address: *

Location *

First

Middle

Last

Phone Number: *

E-Mail: *

Are you a member of the Ohio Genealogical Society?

• Yes
• No

Are you a member of the First Families of Ohio?

• Yes
• No

Are you a member of First Families of Lake County?

• Yes
• No

Membership plan choice

• Individual $12.00
• Couple $17.00

How are you paying?

• Online Credit/Debit
• Mailed Check

Date

Submit