OLD DARLINGTON DISTRICT CHAPTER SCGS

MEMBERSHIP APPLICATION


Please Print this Application Form and mail to:

Old Darlington District Chapter
SCGS
P. O. Box 175
Hartsville, SC 29551-0175
843-857-0300

Date:_____________________

Name:_________________________________________________________

Address:_______________________________________________________

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City:___________________________________________________________

State:________________________ZIP:___________

Email Address: ______________________ @ ______________

Names that you are researching:_______________________________________________________

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Check one:

Individual Membership ($25.00):_________ (full member of ODDC SCGS, receive DARLINGTON FLAG   and CAROLINA HERALD).

Family Membership ($30.00):_________(two or more members at the same address, one subscription of each of the above publications).

I am member of another SCGS Chapter and eligible for Associate Membership: ($20.00)____(must be a full    member of another chapter of the SCGS).

My chapter is:_________________

Patron of ODDC ($50.00)____(full membership, publications, provide support for ODDC SCGS projects       and purchase of research materials).

Benefactor of ODDC (100.00)_____(full membership, publications, provide support for ODDC SCGS            projects and purchase of research materials).

Lifetime Membership in ODDC ($1000)_____(payable in 4 annual payments of $250, full membership for life, publications, and ensure the continuation of the programs of the ODDC SCGS and the purchase of significant    research materials)


1. This membership is a gift. My name is:__________________________________________

    My address:____________________________________

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2. I wish to send a donation of $__________________in memory/honor of__________________________.

   My name is:________________________________________

   My address:________________________________________

* * * * * * * *

3. I wish to make a donation of $_________ or_______________________ to the OLD DARLINGTON
    DISTRICT   GENEALOGICAL CHAPTER OF SCGS but I do not wish to become a member at this
    time. My name is:________________________________________
    My address:____________________________________________
    Signed:________________________________________________

* * * * * * * *

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Please make check or money order payable to Old Darlington District Chapter, SCGS.

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