Membership Application

"History Can Be Preserved Where It Occurred"

We invite your membership in the Goodsprings Historical Society.
To join, please complete and mail this form with payment to:

Goodsprings Historical Society
PO Box 603
Goodsprings, NV 89019

GHS Memberships

______Lead/Zinc Membership $100.00/yr
______Gold Membership $50.00/yr       
______Individual Membership $5.00/yr
______Family Membership $10.00/yr
Donations to GHS: In addition to my membership dues,
I would like to make a donation to the GHS in the amount of _________.
      
Please make checks payable to: GOODSPRINGS HISTORICAL SOCIETY
      
Name: ______________________________________________________

Address: ____________________________________________________
     
City: ________________________________________________________
      
State:_______________________ ZIP _________________


Email:_____________________________________________ 

Phone:____________________________