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Wichita County Historical Society
Jeanene French, Treasurer
P.O. Box 1561
Leoti, KS 67861

MEMBERSHIP APPLICATION

NAME____________________________PHONE(___)________-________

ADDRESS ____________________________________________________

CITY________________________STATE___________ZIP____________

Life Time - $50.00 per person _______ One Year (2002) - $5.00 per person _______

Make Checks payable to ‘Wichita County Historical Society’.

One Year Membership Period January - December Members will receive four newsletters a year.