Print this form out and mail with check to:

Hancock County Historical & Genealogical Society 
P.O. Box 307
Sneedville, TN 37869

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New Member ____

Renewal ____

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Name: _______________________________  Date: _________________

Address: ____________________________________________________

City: __________________________ State: _______ Zip: _____________

Phone: ______________________ Email: __________________________

Annual dues are $20.00. You will receive the next two issues of the society's news letter, "Our Mountain Heritage." Send this form along with a check for the appropriate dues for either one, two or three years.

Amount Encosed: _____________________________________________