Membership Form


To request new membership in the Foundation or to renew a current membership, please fill out this form.

Then print off the form and mail it with your check to the address below.

Name:
Address:
City: , State: , Zip Code:
Phone:

Please circle where appropriate:

Renew Membership      New Membership

Individual: $15.00

Family: $25.00

Church/Group: $50.00

Other donation: $________

I would like to volunteer to help with special events: YES

Return form with your membership check made out to: The Historic Old Pickens Foundation and mail to:

Historic Old Pickens Foundation
P.O. Box 149
Salem, SC 29676-0149

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