RICHMOND HILL HISTORICAL SOCIETY
MEMBERSHIP APPLICATION
Please print this form and forward to the Historical Society
RICHMOND HILL HISTORICAL SOCIETY
ANNUAL MEMBERSHIP APPLICATION
JANUARY 1, 2010 – DECEMBER 31, 2010
Name______________________________________________________________
Address____________________________________________________________
City _____________________________ST_________ZIP ___________________
Phone _______________________ E-MAIL Address______________________
TYPES OF RICHMOND HILL HISTORICAL SOCIETY MEMBERSHIP:
(Check one)
INDIVIDUAL MEMBERSHIP $ 20.00 _________
FAMILY MEMBERSHIP $ 35.00 _________
SENIOR MEMBERSHIP (SINGLE) $ 15.00 _________
SENIOR FAMILY MEMBERSHIP $ 20.00 _________
STUDENT MEMBERSHIP $ 10.00 _________
FRIEND OF RHHS MUSEUM $ 50.00 _________
CORPORATE MEMBERSHIP $100.00 _________
DONATION TO THE MUSEUM $________ _________
Richmond Hill Historical Society members receive 5% off Gift Shop purchases.
Check Itemization: RHHS Dues ______________________
RHHS Donation ______________________
MAKE CHECKS PAYABLE TO: RICHMOND HILL HISTORICAL SOCIETY
Mail Membership Forms and payment to: Richmond Hill Historical Society
PO BOX 381
c/o Treasurer
Richmond Hill, GA 31324
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KEEP FOR YOUR RECORDS
Richmond Hill Historical Society is a 501-C non-profit organization dedicated to preserving the history of Richmond Hill, Bryan Neck, and Bryan County. The Society supports and funds the operation of the Richmond Hill Historical Museum.
PAID WITH CHECK#____________________DATE_________AMOUNT__________
PAID WITH CASH _____ DATE______________ AMOUNT______________
THANK YOU FOR YOUR SUPPORT