PLATTE VALLEY KIN SEEKERS GENEALOGICAL SOCIETY APPLICATION 

Name: First_______________________________  Last___________________________________

Address:___________________________________________________________________________

City___________________________________ State_____________  Zip____________________

E-Mail Address:  __________________________________________________________________


Enclose personal check for $10.00 per year (March through February) per individual. 
If new membership is September or later, then fee is one half ($5.00) for remainder 
of the year.

Mail to: PLatte Valley Kin Seekers
         P O Box 153
         Columbus NE 68602-0153