Wilkes Genealogy Society, Inc.

                       Membership Application

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Name ____________________________________________________________


Address _________________________________________________________


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Phone number ____________________________________________________


Email address ___________________________________________________


Your webpage (optional) _________________________________________


Wilkes Co Surnames ______________________________________________


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Mail this form along with a check for $20 (for one year membership)
payable to

                    Wilkes Genealogical Society
                    P. O. Box 1629
                    North Wilkesboro, NC 28659