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Membership Form

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 Membership Information                                                         

Membership is as follows:  Your generous support is appreciated.

Name________________________________________________               

Mailing Address________________________________________

City____________________________State____  Zip__________                   

__Lifetime Member....$1,000 and up          __Business.............$100 and up

__Corporate Patron..... .$500 and up         __Sustaining..........$50 to $124

__Miner ......................$250 to $499              __Family............................$35

__Prospector................$125 to $249           __Individual.......................$20

__I am interested in joining the Historic Gold Hill and Mines Foundation, and actively participating  in Foundation activities.

__I am interested in including Historic Gold Hill and Mines Foundation in my will.  Please send me information about the bequest of real estate, stocks, securities, antiques, etc...

__I am interested in knowing more about the foundation.

ALL DONATIONS ARE TAX DEDUCTIBLE TO THE EXTENT OF THE LAW

The Education Committee publishes a quarterly newsletter 'THE GOLD HILL MINER'. Subscriptions are free to members. Contact us to become a member call 704.279.7897 or 704.267.9439

 Print and mail this form to:

Historic Gold Hill and Mines Foundation, Inc.

PO Box 206

Gold Hill, NC 28071