Polk County Cemetery Preservation Committee
Membership Application


Membership to the Polk County Cemetery Preservation Committee is open to anyone who shares the goal of preserving the cemeteries in Polk County. Print the application, and return to us via U.S. Mail with membership dues.



Name:________________________________________________________________________________________________

Mailing Address: ______________________________________________________________________________________

City:______________________________________________________State:______________Zip:_____________________

Phone #:___________________________________________

E-mail address:_____________________________________________________________

Please return this form to:

Polk County Cemetery Preservation Committee
C/o Eddie L. Neal
1012 Lake Street
Cedartown, Georgia 30125


Membership dues:
Sponsor Membership - $500 per year
Associate Sponsor Membership - $250 per year
Individual - $25 per year