Coarsegold Historical Society Membership

Please check one –
___ Family Membership ………. $30/year
___ Lifetime Membership …….. $300

Please Print:
Name _____________________________________
Spouse ___________________________________
Address ___________________________________
City ______________________________________
State ________________ Zip __________________
Phone ____________________________________
Email _____________________________________

Interested in becoming a Docent? Yes ___ No ___
For more information, call Glenda Butterfield
(559) 760-6017

Memberships are considered a donation.
All donations to the Coarsegold Historical Society are tax-deductible.

Thank You For Your Support!
Please complete, print and mail
with your check to:

Coarsegold Historical Society
P.O. Box 117
Coarsegold, CA 93614