Old Pickens Presbyterian Church

Old Pickens

Presbyterian Church

"The Town that Disappeared"

Membership Form

To renew your membership or become a new member, please fill out this form.

Then print off the form and mail it with your check to the address below.

Name: _____________________________________________

Address: ___________________________________________

City: ________________________ State: __________      Zip Code: _______________

Phone: _________________________

I would like to continue with my membership:
      Individual: $15.00

      Family: $25.00

      Church/Group: $50.00

      Other donation: $________

I would also like to volunteer to help with events and projects: (Yes) (No)

Circle the appropriate box and return with your membership check made out to:

Historic Old Pickens Foundation

P.O. Box 149

Salem, SC   29676-0149