SWIGER RUN HISTORY LIBRARY

MEMBERSHIP APPLICATION

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ADDRESS CITY STATE ZIPCODE

____________________________ ( ) NEW MEMBER ( ) RENEWAL

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I AM INTERESTED IN THE FOLLOWING FAMILIES, COMMUNITIES, ETC.

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MAKE CHECKS PAYABLE TO:

SWIGER RUN HISTORY LIBRARY

RT. 2 BOX 206

SALEM, WV 26426

ATTN: ANNE MISH, DIRECTOR