Florida Chapter of the Ohio Genealogical Society

2010 Annual Conference Registration Form

19-20 February 2010

Leesburg, Florida

Select One:

I have paid my FCOGS 2010 Dues. ( ) $35.00

I am a FCOGS Life Member. ( ) $35.00

I am including my 2010 Dues. ( ) $47 Single or ( ) $50 Joint

only 1 attending conference

We are including our 2010 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 26^th Annual Conference in Leesburg, Florida. This fee covers the Friday and Saturday conference sessions 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 boxed lunches from Firehouse Subs.

Sub Meat Choices:

___ ham ___ turkey or ___ roast beef

Mail to:

Florida Chapter OGS

c/o Leslie Harper

426 SE 28 Loop

Melrose, FL 32666-5324