HARALSON COUNTY HISTORICAL SOCIETY

HARALSON COUNTY HISTORICAL SOCIETY


MEMBERSHIP APPLICATION

"Membership is open to any person
interested in the history of Haralson County
and the preservation of that history."

World Wide Web: http://hchistory.com
Telephone: 770-646-3369
Fax: 770-646-1103

PERSONAL INFORMATION:

Name _______________________________________________________________

Address _______________________________________________________________

City _________________ State _________________ Zip ______________

E-mail _______________________________________________________________

Telephone (Home) ________________________ (Work) ________________________

Fax (Home) ________________________ (Work) ________________________

MEMBERSHIP FEES (please check one of the following choices and enclose payment):
Individual ($15/year) __ Founding Associate ($500 in one payment) __
Family ($20/year) __ Founder Membership ($1000 in one payment) __
Lifetime ($200 in one payment) __
MAIL TO:              

Haralson County Historical Society
P.O. Box 585
Buchanan, GA 30113
Last updated 2005 May 20