Print this membership application and send via "snail mail" it with your check to Marble Valley Historical Society, Inc. P.O. Box 815 Jasper, GA 30143
Annual Dues (January 1 - December 31)
$10 Individual $20 Family $75 Corporate Sponsor
Name:_____________________________________________ First / Last
Address:_____________________________________________
City/State Zip:_____________________________________________
Telephone:_____________________________________________
E-Mail: _____________________________________________
May we include this information in our published membership roster?
YES NO