TEXAS JACK ASSOCIATION
MEMBERSHIP APPLICATION
Note: Membership in the Texas Jack Association is open to all interested persons. There are three basic types of membership:
- Individual adult membership- $25/person
- Junior memberships (under 18) – $10/person
- Family memberships (all persons residing at same address) – $40/family
SEND TO:
Texas Jack Assn.
Rene Tyree, Treasurer
244 NW Whitlock Dr.
Lee’s Summit, MO 64081
I have enclosed $________for the following membership(s) in the “Texas Jack” Association.
NAME: _______________________________________
ADDRESS: ____________________________________
_____________________________________
E-MAIL:______________________________________
PHONE: (_____) __________
___NEW MEMBERSHIP
___RENEW MEMBERSHIP
BIRTHDATE: ______________________
ARE YOU RELATED TO THE OMOHUNDROS? ____
IF SO, PLEASE GIVE LINEAGE:
