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
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
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