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Membership in the Great Lakes Chapter is open to all members of the Association of Professional Genealogists (APG) specializing in the area of Ohio, Michigan, Indiana, Kentucky, West Virginia, and Western Pennsylvania.   Complete the following information and return to the address shown at the bottom of this form, along with a check payable to APG-GLC for the appropriate dues. 

 NAME ________________________________ POSTNOMIALS (if any) ___________

 DBA (if any) ____________________________________________________________

 ADDRESS ______________________________________________________________

                     ______________________________________________________________

 CITY ____________________________ STATE ______ ZIP CODE _______________

 TELEPHONE    (_____) _____ - __________ FAX  (_____) _____ - __________

 EMAIL ________________________________________________________________

 OFFICE HOURS ________________________________________________________

 CREDENTIALS _________________________________________________________

 AREAS OF EXPERTISE / SPECIALTY ______________________________________

 SERVICES OFFERED ____________________________________________________

 WILL  _____ WILL NOT ______ ACCEPT NEW CLIENTS.

WILL  _____ WILL NOT ______ SPEAK TO GENEALOGY AUDIENCES.

WILL  _____ WILL NOT ______ WRITE FOR GENEALOGICAL PUBLICATIONS.

Renewal: ______  New: ______  Family: ______

Dues:    Individual  $10.00/year     _____ Member names:  ________________________

             Family  $15.00/year          _____ Member names:  ________________________

 Note:  For Family memberships, each member should complete a form, but cross-reference on the line above (Member names)

 Mail to:   Gary M. Smith, Secretary/Treasurer, PO Box 38314, Olmsted Falls, OH  44138-0314.

 By APG bylaws, all APG chapter members must be members of the APG national organization.  For further information, contact the chapter or www.apg.org.

 THIS SECTION FOR CHAPTER USE ONLY:

Dues paid:   $______     Check # ______ Date: _______ APG Membership Verified: ____