Name (Please print name as you would like it to appear on membership mailings.
Street
CityStateZip
Telephone
E-mail address
I (and/or my spouse) work for a matching gift company.
Signed form enclosed. I/we will file form(s).
I/we would like to support historic preservation in Hickory by becoming a:
Benefactor $1000
Friend $50
Sustainer $500
Family $35
Patron $250
Individual $25
Sponsor $100
My check for $is enclosed. Please make checks payable to HLS.Mastercard Visa Account numberExpiration Date Signature:
If Hickory Landmarks Society may be of service to you, please call or write:P.O. Box 2341, Hickory, NC 28603 828-322-4731United Arts Fund affiliate of the United Arts Council of Catawba County.THANK YOU!
[MEMBERSHIP FORM]