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MEMBERSHIP APPLICATION

ANNUAL MEMBERSHIP

Membership is from 1 January through December 31; includes a Spring and Fall Journal

 

$20.00/year

Please add an additional $5 after February 28 to cover extra postage and bookkeeping.

Renewal

 

$

New

 

Year  20 __

Optional donation for Heritage Center

(tax deductible)

                                            $

Membership & donation TOTAL

                                            $

 

Make checks payable to JCHS

Mail to JCHS, 131 W. Main St., Clarksville, AR 72830

Name:

Mailing Address:

Town:

State:

Zip:

Phone:

Email:

For JCHS use

Rec'd:

 

Payment:

 
© 2014 Johnson County Historical Society