2003 GCHGS MEMBERSHIP FORM

 Dues are $20 for the calendar year, january 1 through December 31, 2003.
Corporate sponsorship are $35. Membership outside the U.S. are $35.

Members joining in mid-year get back issues of any 2003 Quarterly already published
plus future issues of the year's newsletters and quarterlies.

Please mail to "2003 Dues," GCHGS, 120 n. 12th St., Paragould Ar 72450
Or leave at GCHGS Message Center in Lipscomb Room

CIRCLE ONE:   $20 family   $35 corporate   $35 outside U.S.

Add donation for GCHGS Book Fund to purchase books for Lipscomb Room ___________

Name________________________________________________________________    I am interested
                                                                        in learning more
Address_____________________________________________________________    about being
                                                                        a volunteer In
       _____________________________________________________________    the Lipscomb Room

Telephone___________________________________________________________

Email_______________________________________________________________

Please feel free to offer any suggestion or comments on the back of the form.

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