INDIVIDUAL MEMBERSHIP

A.

Name

Address

City

$15.00

State

Phone

Zip

DO NOT add my name to the mailing lists of OGRC affiliates for notification of social, cultural and political events in my area. 34.00 Subscription/Work

B.

ORGANIZATIONAL AFFILIATE

Organization

Address

City

Representative

Alternate

State

$20.00 or

Zip

Organizational telephone

SUBSCRIPTION TO THE NEWSLETTER ONLY

C.

Name

Address

City

OGRC

PO Box 8393

Columbus, Ohio 43201

nott

State

Michael Schmidt

527 Tompkins (rear) Columbus, OH 43202

$4.00

Zip

JUS CAM

1379

HO

441

US POSTAGE

15€

OLIVER WENDELL HOLMES