Lifetime, Joint

This is the form for the "Joint, Lifetime" membership to the Stark County Ohio Genealogical Society. When you hut submit, you will be taken to the PayPal website where you can create an account or use an existing account to fund the transaction. Once the payment is complete, you will be brought back to this page and given the option to log in with your newly created username and password.

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($200) Lifetime Joint Membership

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First Name *

Last Name *

Email Address *

Username (lowercase alphanumeric) *

Password (type this twice please) *

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Additional Info

Spouse Name (if joint membership)

Spouse Email (if joint membership)

Street Address *

City *

State *

Zip Code *

Phone Number *

Are you a memeber of the Ohio Genealogical Society

Surnames Under Research *

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Card Number (no dashes or spaces) *

Card Expiration Date (mm/yyyy) *

Card Verification Code * need help?

Card Start Date (mm/yyyy), or Issue Number *

Billing Address

Street Address *

City / Town *

State / Province *

Postal / Zip Code *

Country *

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