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Wichita County Historical Society

Jeanene French, Treasurer

P.O. Box 1561

Leoti, KS 67861

NAME____________________________________________PHONE(___)________-________

ADDRESS ____________________________________________________

CITY______________________________________STATE___________ZIP____________

Life Time - $50.00 per person _______ Life Time - $100.00 Family _______   One Year (2002) - $5.00 per person _______

Make Checks payable to ‘Wichita County Historical Society’.

One Year Membership Period January - December

Wichita County Historical Society Membership Application