Madison County

Please send this completed application with the appropriate amount enclosed. Annual renewals are due in January for the coming year. You will receive all the 2007 issues of Echoes of Madison. (March, June, September, and December 2007.)

Individual membership	$15.00
Family membership	$25.00 (2 or more in same household over 18)
Institutional membership	$15.00 (libraries, societies, organizations)

Name _________________________________________________________________

Address _______________________________________________________________

_____________________________________________________________________

Phone _______________________________ E-mail ____________________________

Surnames of Interest _____________________________________________________

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Referred by: ____________________________________________________________