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NO. __________(to be completed by FSSSHA)

 

 

                                    Membership Application

 

Friends of Sycamore Shoals State Historic Area

 

OUR PURPOSE:  Organize a corporation to support Sycamore Shoals State Historic Area and the affiliated John Landon Carter Historic Mansion by educating the public about the park’s unique qualities through presentation and support of projects related to the mission and the betterment of the park.

 

 

Name: 1_________________________  2.__________________________

                                                                        For Family Membership

 

Address: _____________________________________________________

 

City: _________________________State: _______________ Zip: _______

 

Phone: ________________________ E-Mail: ________________________

 

Corporation (if applicable) _______________________________________

 

 

 

Annual Membership:          

                                                ______Individual                                      $25.00

                                                ______Family (2 Min. 16+)                      $35.00

                                                ______Student(16 & over)                       $15.00

 

 

Annual Corporate Membership:    

 

                                                   ______Contributing                               $200.00

                                                   ______Partner                                       $300.00

                                                   ______Sustaining                                  $500.00

                                                   ______Benefactor                               $1000.00

 

 

 

MEMBERSHIP DUES ARE TAX DEDUCTIBLE

WE ARE A 501C3 ORGANIZATION

 

Mail application and check to:

 

Friends of Sycamore Shoals State Historic Area

1651 Elk Avenue                        Elizabethton, TN 37643

 

 

 

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