EVHS Membership Form

Euharlee Valley Historical Society                   
 
All payments to EVHS are tax deductible under section 501 ( C )  (3) of the
 Internal Revenue Code.
 
 

Membership Dues

Corporate Sponsor-$500.00 per year
Patron-$250.00 per year
Family Active-$25.00 per year
Individual Active-$20.00 per year
 
Membership Application
Yearly Renewal Date
 Is the 1st of January

Please print

Name_________________________
           (First)   (Middle)  (Last)
 
Address________________________
 
_____________________________
 
Phone # ________________________
E-mailaddress________________________
Please return completed
Application with dues, To:
EVHS
P.O. Box 364

Rockmart, GA 30153

You can use this one!
 
 
 
 
 
 
 
Euharlee Valley Historical Society                   
 
All payments to EVHS are tax deductible under section 501 ( C )  (3) of the
 Internal Revenue Code.
 
 

Membership Dues

Corporate Sponsor-$500.00 per year
Patron-$250.00 per year
Family Active-$25.00 per year
Individual Active-$20.00 per year
 
Membership Application
Yearly Renewal Date
 Is the 1st of January

Please print

Name_________________________
           (First)   (Middle)  (Last)
 
Address________________________
 
_____________________________
 
Phone # ________________________
E-mailaddress________________________
Please return completed
Application with dues, To:
EVHS
P.O. Box 364
Rockmart, GA 30153
Give this one to a friend!