FULL NAME (please print) ________________________________________________________
STREET ADDRESS __________________________________________________________________
CITY, STATE, ZIP + 4 ____________________________________________________________
PHONE NUMBER (Optional) _________________________________________________________
ENCLOSED IS CHECK (OR MONEY ORDER) MADE OUT TO THE LMA FOR:
MEMBERSHIP DUES ($10.00 per year) (per family) __________________________________
(July - June) (Includes Lybarger Linkages newsletter Spring and Fall)
THE LYBARGER DESCENDANTS BOOK (SOLD OUT) _____________________________________
LMA MEMBER DISCOUNT PRICE (SOLD OUT)
LYBARGER BOOK OF POEMS ($9.00 each) _____________________________________________
LMA MEMBER DISCOUNT PRICE $7.00 each)
CONTRIBUTION TO LYBARGER CHURCH FUND (any amount) _______________________________
CONTRIBUTION TO GENEALOGICAL RESEARCH (any amount) ______________________________
TOTAL AMOUNT OF CHECK OR MONEY ORDER ____________________________________________
