Printable Application Form For Membership
North Central Iowa Genealogical Society

YOUR NAME: ______________________________________________________
ADDRESS: ______________________________________________________
CITY, STATE, ZIP: ______________________________________________________
PHONE: ______________________________________________________
E-MAIL ADDRESS: ______________________________________________________
I am researching
the following
surnames:
______________________________________________________

______________________________________________________

Please print this page

  1. Enclose with your $12.00 dues,
  2. and a Self Addressed Stamped Envelope
  3. and mail to:

North Central Iowa Genealogical Society
Box 237,
Mason City, IOWA 50402-0237