2008 Membership Application

Name_______________________________________________________________________

Address______________________________________________________________________

City State Zip__________________________________________________________________

E-Mail_________________________________________________________________________

Telephone_____________________________________________________________________

Student   $5.00______              Individual  $20.00_____

Family  $25.00_____                  Patron  $35.00_____

Business/Club  $50.00 _____      Corporate  $100.00 _____

Sponsor $150.00_______            Life Membership $500.00+ _____        Benefactor $1000.00+_____    

Our Charitable Tax Free  Donation for Museum Addition  $_______________________________

Print application and mail to:

Stephens County Historical Society     160 N. Alexander Street    Toccoa Georgia 30577    706-282-5055