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Updated
May 18, 2009
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MINCO HISTORICAL SOCIETY MEMBERSHIP
APPLICATION
Minco Historical Society
P. O. Box
624
Minco, OK 73059
| NAME: |
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| ADDRESS: |
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| CITY, STATE, ZIP: |
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| E-MAIL ADDRESS: |
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MEMBERSHIP CATEGORIES
| ANNUAL, INDIVIDUAL: |
$15 |
| ANNUAL, BUSINESS/CORP.: |
$25 |
| LIFETIME, INDIVIDUAL |
$200 |
| LIFETIME, BUSINESS/CORP. |
$300 |
CHECK THE FOLLOWING INTERESTS:
| GENEALOGY: |
________ |
| VOLUNTEERING: |
________ |
| TOWN HISTORY: |
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| OTHER: |
________ LIST
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