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TENNESSEE VALLEY HISTORICAL SOCIETY |
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Please check: New Member_____ Renewal_____ |
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Dues are: Individual - $ 6.00 Family - $ 8.00 |
$__________ |
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Please consider a contribution to the Scholarship Fund |
$__________ |
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| TOTAL AMOUNT INCLUDED |
$__________ |
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Make checks payable to: Tennessee Valley Historical Society |
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| ADDRESS [PLEASE PRINT] | ||||
| Name:_______________________________________ | Date:_________________ | |||
| Address:______________________________________ | ||||
| City____________________ ST_____ Zip__________ | ||||
| Phone: _____________________ e-mail: ______________________________ | ||||
Please print, fill out, and mail with your
check to:
Tennessee Valley Historical Society
P. O. Box 149
Sheffield, AL 35660
If you have questions about this form, please contact Pat M. Mahan