MEMBERSHIP APPLICATION

You may print this page for your application form.

Name(s):________________________________________________________________________

Address:________________________________________________________________________

City:______________________________________ State:______________ Zip:______________

OPTIONAL (Phone:_________________________ Email:________________________________)

Check membership grade desired.

Family Membership is offered to two or more persons residing at the same address.

ANNUAL MEMBERSHIP:		Individual $18 ___	Family $25 ___

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 ___

The age of the oldest member of the family determines the fee for FAMILY LIFE MEMBERSHIP. Please provide proof of age. A copy of any official document which shows the members birth date will suffice.

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:

__________________________________________________________________________________

Note: 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 the 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 the membership will run through December of the following year.