MEMBERSHIP FORM
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Name_________________________________________________________________





Street/Mailing Address_______________________________________________





City_____________________________State____________Zip+4______________





Email address________________________________________________________





Members will receive               Membership year is Jan 1 to Dec 31

4 newsletters annually,

plus voting privilege              Make checks payable to:

for one household.                 Hancock County Historical Society

                                   306 Walnut Street

Household.......$10.00/year        Carthage, IL  62321-0068

Life Membership.....$125.00