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The Saltville Foundation

123 Palmer Avenue

P. O. Box 910

Saltville, VA   24370

Phone: (276)-496-3633

 

If you would like to become a member of the museum or would like to renew your membership, print out the following form and mail it with payment to the address above.

Yes, I want to support the continuing progress toward a new facility and the future work of the museum.

NAME _________________________________________________

ADDRESS ______________________________________________

                  _______________________________________________

 

Check membership catagory:

ASSOCIATE MEMBERSHIP                            BUSINESS SUPPORT COUNCIL

_____ Sustaining ($100 & up)*                                 Business Sponsor $__________/year

_____ Family  ($35 & up)                                                                   $__________/month

_____ Individual  ($15 & up)

_____ Senior ($10 & up)

_____ Student ($10 & up)

 

CENTURY CLUB 

_____Patron ($1000-$4999)*

_____Benefactor ($5000-$9999)*

_____Mammoth Benefactor ($10000 and up)*

 

 

 

_____Matching Gifts: I work for a matching gift company. Company Name: _____________________________

 

Signature _____________________________________

 

*The Saltville Foundation is a 501(c)3 non-profit organization and contributions are tax deductible as allowed by law.