____ Yes, I want to become a member of the Multicultural Genealogical Center.
Name __________________________(Please Print)
Address _____________________________________
Phone ________________________________________
email _________________________________________
Enclosed are my year 2022 dues for (check one):

____   Annual Student membership……………………………….$6.00
____   Annual Regular Individual membership …………….. $15.00
____   Annual Senior membership–age 50 and over………. $10.00
____   Annual Organization or  Sponsor Membership…..  $100.00
   

_____ Lifetime membership…………………………………….. $200.00

____ _Organization Lifetime Membership………………….. $500.00

Annual dues are payable by January 31 of each year.

MGC is a 501 (C)(3) Not-for profit organization and any donation is tax deductible.

I am interested in supporting the MGC by:
__ Volunteering to work in the Research Center
__ Donating copies of my family tree/family history data
__ Donating copies of my family pictures, videotapes, etc.
__ Donating artifacts, etc. for exhibit ( __ temporary loan; __ permanent loan)
__ Sharing stories about my family’s lives in Southern Ohio
__ Helping to compile pertinent data from records of courthouses and other public sources
__ Sharing my experiences in gathering family history
__ Conducting short training session(s) on how to gather family history
__ Other ways (specify)_______________________
Contact me at (phone or email)_________________________
On (days of the week)______________ At (hours) ________________

For more information, contact:
Rhonda Tabler, President, 740 423-5295 or rhondat2@gmail.com
OR    Karen Walker, Treasurer, 740-517-6203 or kstevenswalker@yahoo.com

Return this Application to:
The Multicultural Genealogical Center
P.O. Box 125
Chesterhill, Ohio 43728