North Carolina Archaeological Society
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NCAS Membership Application



Name:  ______________________________________________
Address:  ____________________________________________
____________________________________________________
City:  _______________________________________________
State:  ________________________  Zip:  _________________
Telephone:  __________________________________________
Email Address:  _______________________________________

Calendar year:   __________
Regular ($15)
Sustaining ($25)
Student ($10)
Family ($20)
Life ($250; one-time payment)
Corporate ($250)
Institutional ($25; subscription only)
Contribution
TOTAL
 
   $ __________
   $ __________
   $ __________
   $ __________
   $ __________
   $ __________
   $ __________
   $ __________
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This webpage may be printed and mailed with payment to:
North Carolina Archaeological Society
4619 Mail Service Center
Raleigh, NC 27699-4619

For more information contact us at: (Tel) 919-807-6552, (Fax) 919-715-2671, or (email) archaeology@ncmail.net
The North Carolina Archaeological Society is a 501(C)(3) nonprofit organization.


For Office Use Only

Date __________ Amount __________
Check # _______ Membership _______