Membership Application

 

Polk County Genealogical Society

P.O. Box 1525

Mena, Arkansas 71953-1525

 

Annual Membership (per calendar year)     $12.00

Lifetime Membership     $200.00

 

name

 

 

today's date

street address

 

 

e-mail address

city, state, zip

 

 

phone

surnames I am researching within Polk Co.

 

 

 

I am sending copies of my family group sheets which relate to Polk County:

Yes, they are enclosed____

I will mail them to you at a later date____

 

I am submitting a query for the next issue of Polk County Pioneers*

Yes, it is on the back of this application____

I will e-mail it to the Society at a later date____

 

 

*Deadlines are March 1 for the spring issue and September 1 for the fall issue.

 

Please mail this form with your check to:

POLK COUNTY GENEALOGICAL SOCIETY

P.O. BOX 1525

MENA, ARKANSAS 71953

 

Don’t forget to check out the Society’s

Publications for Sale.

Your order can be included with your membership application.

 

Questions? Contact the Society at arkgenealogy@polk.org.

 

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