Annual Dues Form at John Gaither Descendants

The Society of John Gaither Descendants, Inc.

Annual Dues Notice

Enclosed is my check for $ for membership in the following category (please check)

Total

Make check for dues payable to:

THE SOCIETY OF JOHN GAITHER DESCENDANTS, INC

(Dues are not tax deductible)

List each person whose dues the enclosed check is to cover, and relationship, including spouse, plus membership number.
(List self as #1)

Name Relationship Member No.

1.

2.

3.

4.

5.

Name Date

Address

City State Zip

Phone Number Email address

Mail Checks To:

Jonell G. Lewis, secy/Treas

The Society of John Gaither Descendants, Inc.

512 County Line road

Harmony, NC 28634

Gaither Bulletin Board