Join San Jacinto!

Your membership in the San Jacinto Museum will help promote and preserve the history of Texas.

Membership Application

___________________________________________________________________

Name

___________________________________________________________________

Address                                           

___________________________________________________________________

City, State, Zip

___________________________________________________________________  

Daytime Phone                        Evening Phone

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E-mail        O I would like to receive e-mail about upcoming events

O Gift. This membership is a gift from:

___________________________________________________________________

Name

____________________________________________________________________

Address

Membership Categories

Please check one of the membership categories below:

O Corporate $3000                     O Freedom Society $120
O Sam Houston Society $3000     O Dual Lone Star Society $60
O Monument Society $1000         O Lone Star Society $40
O Independence Society $500      O Student/Senior Citizen $20

Method of Payment

O My check is enclosed for $_____________________
O Charge $_____________________ to:
O VISA         O MasterCard        O American Express     O Discover

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Card No.                                                         Expiration Date

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Signature

To charge your membership by phone, call: 281.479.2421

or mail to San Jacinto Museum of History, One Monument Circle, La Porte, Texas 77571-9585