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  Treasurer
          N.C.H.S.
          1150 North Front Street
          Sunbury, PA 17801-1126

Please Accept my membership as:

 

Name:  
Street Address: 
City: 
State:            Zip: 
Phone: 

    Category:            

   Individual     

$    20.00

 
   Family     $    35.00  
   Shikellamy Contributor    $    50.00  
   Augusta Patron    $  100.00  
   Life Membership 
        (per person)    		$  300.00

*
   Hunter Benefactor       $  500.00  

                     * Life Memberships may be paid in
                       $100.00 annual installments over three consecutive years.

    Membership is:   New    Renewal

      Please contact me about:

 Volunteer opportunities
Giving a memorial gift
Making a special contribution       

              

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