Chatham County Historical Association
Membership and Renewal

Print and complete the membership application form, and send it with your dues to:

Chatham County Historical Association, Inc.,
P.O. Box 93
Pittsboro, NC 27312

Make checks or money orders payable to Chatham County Historical Association or CCHA.

Please print clearly.

Name:
Street or P.O. Box:
City:				State:		Zip:
Telephone:		Email:				Date:

Check membership type:
	Student (18 years and under)	$10.00
	Individual or Family	$12.00
	Patron	$35.00
	Corporate (regular)	$50.00
	Corporate (sustaining)	$150.00
	Corporate (10 year Gold)	$1,500.00

The Chatham County Historical Association, Inc., is a 501(c)(3) organization. Your contribution is tax deductible.