415 Seventh Street, P.O. Box 37 • Augusta, Georgia 30903-0037 • Phone 706.724.0436

Join Historic Augusta

P.O. Box 37
Augusta, GA 30903

Print form, fill out and mail with contribution to the above address.

Checks should be made payable to Historic Augusta, Inc.

All contributions are tax deductible to the extend allowed by
IRS rules under section 501 (c) 3.

Categories of Membership

Personal Categories

Corporate and Business Categories

___ Landmark Member
___ Heritage Member
___ Benefactor
___ Patron
___ Donor
___ Contributor
___ Sustainer
___ Family/Double
___ Individual
___ Full Time Student

$ 5,000
$ 2,500
$ 1,000
$ 500
$ 300
$ 150
$ 100
$ 75
$ 50
$ 20

___ Corporate Diamond
___ Corporate Gold
___ Corporate Silver
___ Corporate Benefactor
___ Corporate Patron
___ Corporate Donor
___ Business Contributor
___ Business Sustainer
___ Nonprofit Organization

$10,000
$ 5,000
$ 2,500
$ 1,000
$ 500
$ 300
$ 150
$ 100
$ 50

Membership Application

___ New Member ___ Renewal

Name __________________________________________________________________

Street/P.O. Box _________________________________________________________

City/State/Zip ___________________________________________________________

E-mail Address _________________________________________________________

Telephone: Home __________________________ Office:_______________________

New Address? _____

Contact Us:
415 Seventh Street
P.O. Box 37
Augusta, Georgia 30903
Phone 706.724.0436
E-mail:

Staff