Lanark County Genealogical Society
Membership Form - January to December
Please complete this form and Mail along with your cheque to:
Frances Rathwell
LCGS Membership Co-ordinator
68 Beckwith Street East
Perth, ON K7H 1C1
Canadian Residents - Payment $20.00 CDN
Non-Canadian Residents: Personal cheque accepted for $20.00 US Dollars
Membership includes 8 issues of Lanark Log, General Meetings, and access to the
Archives Lanark.
PLEASE PRINT CLEARLY – NO SHORT FORMS
Membership #: ________________ (If renewal)
Name:
______________________________________________________
(e.g. Mrs. Jane Doe)
Address:
______________________________________________________
(e.g. Unit 8, 68 Main Street East)
______________________________________________________
(e.g. P.O. Box 2121, Station A - If applicable)
______________________________________________________
(Town/City
Province/State)
______________________________________________________
(Postal Code/Zip Code)
______________________________________________________
(Country)
Phone:
______________________________________________________
(e.g. 1-613-267-0000)
E-mail Address: ______________________________________________________
PLEASE CHECK THE APPROPRIATE BOX(S)
New Membership
“Lanark Log” via E-Mail
Include query in the Lanark Log
Include Surname on Website
Regular Mail
Website
Renewing Membership
(Online queries & Surname listings expire 1 year from posting.)
Renew on-line Query
Renew on-line Surname(s)
Submit new query to Lanark Log
Website
Add new Surname to Website
Please see www.globalgenealogy.com/LCGS/ on line queries & surnames tab For information on submitting a
query or surname.