Nevada County Historical Society
Membership Application
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ANNUAL MEMBERSHIP DUES:

• ____$25 General
• ____$50 Business
• ____New
• ____Renewal
• ____Gift? If this is a gift, please use the Gift Membership Order form

I would like to make a special contribution to support:

• ____Firehouse Museum
• ____Mining Museum
• ____Searls Library
• ____Railroad and Transportation Museum
• ____Building Fund

Enclosed is my check for $____________

NAME _____________________________________________ EMAIL_____________

ADDRESS ___________________________________________TEL#______________

CITY & STATE ______________________________________ZIP_______________

Please indicate if this is a change of address _____________________

I would like to volunteer __________________________________________________

My areas of interest are: __________________________________________________

COMMENTS ____________________________________________________________

_____________________________________________________________________

Mail To: Nevada County Historical Society
PO Box 1300
Nevada City, CA 95959