Membership Form

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Name *

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Address Line 2

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Member Two Name & Email

Member Three Name & Email

Member Four Name & Email

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Additional Donation

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$0.00

Please submit this form online and then you will be forwarded to our Paypal Page to submit your payment.

To send by mail - Print this page and send the print out and your check to:

Campbell County Historical Genealogical Society
8352 East Main Street
Alexandria, KY 41001

Make checks payable to: The Campbell County Historical and Genealogical Society

The Campbell County Historical and Genealogical Society is a 501(c)3 non-profit corporation.
Our Federal Tax ID is 61-1178122.
Thank You!