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Augusta Genealogical Society
c/o Treasurer, Bevery Bartley
10 Marie Court
Fishersville, VA 22939

Membership Application
Enclosed please find payment of $12.00 to cover the cost of my (our) Annual Membership. Dues for the year beginning March, 1997 through March, 1997, including subscription to the Society's newsletter.

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(Check Here)____Found you on the internet.

Surnames Being Researched

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(Office Use Only)
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