OGSGS Membership Application

MEMBERSHIP APPLICATION You may print this page for your application form. Name(s):__________________________________________________________________________ Address:___________________________________________________ E-mail:_________________ City:________________________________ State:_________ Zip:___________ Check membership grade desired. Family Membership is offered to two or more persons residing at the same address. The membership year begins January 1 and expires December 31. Those who join before July will receive any previously issued Newsletters for the year and their membership will run through the current year. Those who join after June will not receive any back issues, but will receive any remaining issues for the year and their membership will run through December of the following year."
ANNUAL MEMBERSHIP:		Individual $18 ___	Family $24 ___
		___ Please check if this is a RENEWAL.

LIFE MEMBERSHIP:	Age 70 & up	Individual $125 ___	Family $175 ___
	Age 60 to 69	Individual $175 ___	Family $225 ___
	Age 50 to 59	Individual $225 ___	Family $275 ___
	Age 40 to 49	Individual $275 ___	Family $325 ___
	Age under 40	Individual $325 ___	Family $375 ___
Please provide proof of age for LIFE MEMBERSHIP. A copy of any official document which shows the members birth date will suffice. The age of the oldest member of the family determines the fee for Family LIFE MEMBERSHIP. Include a check or money order, payable to OGSGS, for the selected membership fee. Mail the completed application to: EXECUTIVE SECRETARY OGSGS PO BOX 974 ORANGEBURG, SC 29116-0974 Signature:__________________________________________________ Date:___________________ ADDITIONAL INFORMATION Please let us know what Orangeburgh surnames you are researching: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 5-18-08