To join the Tom Mix Museum simply print and complete this form. Then mail with your membership fee - either check or credit card -  to:
Tom Mix Museum
PO Box 190
Dewey, OK 74029
Lifetime Membership      $500
Annual
Marshal---------------------------$100.                   
Deputy Marshal--------------------$50.                  
Posse (family)----------------------$25.                    
Range Rider-----------------------$20.                         
Jr. Marshal (student)----------------$5.               

Name_______________________________________________________________________________________     

Address_____________________________________________________________________________________     

City, State, Zip _______________________________________________________________________________    

Phone ____________________________________________________   

email ______________________________________________________________________________________

Mastercard___    Visa____    Exp. Date____________

Card Number ________________________________________________

Signature ____________________________________________________

© 2013 Tom Mix Museum Inc.
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