membership form

Amador Co. Historical Society

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* First Name:

* Last Name:

* Mailing Address:

* City:

* State:

* Zip Code:

* Phone Number:

Please include area code. Numbers only, no hyphens or spaces.

* Email Address:

Please Confirm Email Address:

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NEW MEMBERSHIP RENEWAL

Annual Memberships

Family $40 (2+ persons) Individual $25 Student $15

Lifetime Membership

Lifetime $400 - Family of 2+)

Sponsor Memberships

Benefactor ($1,000 & up)

Patron ($500 to $999)

Associate ($250 to $499)

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