Florida Chapter of the Ohio Genealogical Society

2012 Annual Conference Registration Form

2-3 March 2012
Indian River County Main Library
1600 21st St.
Vero Beach, FL 32960

Featured Speaker
Donna Moughty

Select One:
I have paid my FCOGS 2012 Dues. ( ) $35.00
I am a FCOGS Life Member. ( ) $35.00
I am including my 2012 Dues. ( ) $47 Single or ( ) $50 Joint only 1 attending conference
We are including our 2012 Dues. ( ) $85.00 both attending conference
I am not a FCOGS member. ( ) $45.00

I am enclosing my check, in the amount of _______, for the Florida Chapter OGS 28th Annual Conference in Vero Beach, Florida. This fee covers the conference and Saturday’s lunch.

Name: _______________________________________________________
Address: _____________________________________________________
City, State, and Zip: ____________________________________________
E-mail: ______________________________________________________
3 Ohio Counties I am Researching: ________________________________
3 Ohio Surnames I am Researching: _______________________________

Saturday’s lunch will be provided from Honey Baked Ham.

Mail to:
Florida Chapter OGS
c/o Leslie Harper
426 SE 28 Loop
Melrose, FL 32666-5324