Gaston Musuem
P. O. Box 301
Joinerville, TX 75658
Membership Form
Membership Name
Address
Line 1
Address
Line 2
City
State
Zip
Telephone Number
Email Address
Web Site Address
Optional
Signature
Please sign after printing this form
Date Signed
Class Year
(Gaston Students Only)
Please check a box to indicate your membership level.
$10.00 Individual Membership Level
$15.00 Family Membership Level
$50.00 Friend Membership Level
$100.00 Patron Membership Level
$300.00 Benefactor Membership Level
$1000.00 & Up = Lifetime Membership
11-15-2001
