Membership Form (3)

Lynchburg, TN - County Line - Moore County
Home Contact Us (1) About Us (2) Membership Form (3) JB Gowen Summery (4) Calendar of Events (5) Cemetery Listing (6) Photo Gallery (7) Photo Gallery (Cont.) Tempo Article Times Gazette Minutes-2/17 Mtg. WorK Day 11/08 Work Day 04/09 Misc. Photos

 

The James Burns Gowen Cedar Tree Cemetery Association, Inc. 

YES,  I am interested in becoming a part of the effort for the restoration, improvement, maintenance, and establishment of perpetual care for the James Gowen Cemetery. 

_____ I will serve as an incorporator of the Association. 

_____ I will serve as an officer or director of the Association if elected. 

_____ I will participate in scheduled volunteer work on the cemetery. 

_____ I would like to make an initial contribution of $ ___________________

           to be utilized toward the restoration and improvements of the James Burns

          Gowen Cemetery (Enclosed).

************************************************************************

_____ I (We) would like to become a Charter Member of the James Gowen

           Cemetery Association, Inc. based on the following type of annual

           Membership (Membership Dues for 2007 Enclosed): 

            _____ Individual Membership:  $25.00 Annual Membership 

            _____ Sustaining GOLD Individual Membership:  $100.00 Annual Membership

            _____ Family Membership:  $150.00 Annual Membership

                       (Includes all members of the family in the same household) 

            _____ Corporate Membership:  $250.00 Annual Membership 

 NAME: ________________________________  TELEPHONE # _________________ 

ADDRESS ______________________________________________________________

CITY, STATE, ZIP:  _____________________________________________________ 

FAX # ______________________________  EMAIL: __________________________ 

RETURN TO: 

Sylvia (Gowen) Gilbert,  1803 Angel Lane, Signal Mountain, Tennessee 37377

423-886-7507  - Email:  sylviaggilbert@comcast.net