HSHC memb form adapted for internet HISTORICAL SOCIETY OF HOPKINS COUNTY MEMBERSHIP FORM– Date ____________ Enclosed is $20.00 for ANNUAL MEMBERSHIP (Membership for 1 year only – 1 Yearbook) Year: ________________________ Enclosed is $30.00 for FAMILY MEMBERSHIP (Membership for 2 family members but only 1 Yearbook) Year:______________ Enclosed is $250.00 for LIFE MEMBERSHIP (Name included in Yearbook) NAME: __________________________________________________________________________________
Family Membership–SPOUSE NAME:___________________________________________________________
ADDRESS: Street City State Zip Code ______________________________________________________________________________________ Return to: Historical Society of Hopkins County, 107 Union Street, Madisonville, KY 42431 The Historical Society of Hopkins County is a 501 (c) (3) tax-exempt corporation. YOU may copy and paste this to a word document or print from link; Or call 270-821-3986 during weekday business hours M-F 12 noon – 4 pm for further assistance.
Donations above membership dues are always welcome.