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Banks County Historical Society P O Box 473 Homer Georgia 30547-0473 2003
Name:_________________________________________________________________
Address: ______________________________________________________________
City State Zip __________________________________________________________
Telephone: ____________________________________________________________
Email: _________________________________________________________________
Dues _______ Student $2.50 ______ Individuals $10.00 ______ Families $15.00
______ Patrons $25.00 ______ Business or Clubs $25.00
______ Corporations $50.00 ______ Life Memberships $500.00 and up
_____ Benefactors $1000.00 and up
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