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 four quarterly issues of the society's news letter, "Our Mountain Heritage." The news letter is published in January, April, July and October annually. Send this form along with a check for the appropriate dues for either one, two or three years.

Amount Encosed: _____________________________________________