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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