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
Annual
Night Marshal---------------------$500.
Sheriff-----------------------------$250.                   
Deputy-----------------------------$!00.               
Posse (family)-----------------------$50.                   
Range Rider (Individual)------------$25.                         
Jr. Marshal (student)----------------$10.              

Name_______________________________________________________________________________________     

Address_____________________________________________________________________________________     

City, State, Zip _______________________________________________________________________________    

Phone ____________________________________________________   

email ______________________________________________________________________________________

Mastercard___    Visa____    Exp. Date____________

Card Number ________________________________________________

Signature ____________________________________________________

© 2013 Tom Mix Museum Inc.

GA

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