DRAW MEMBERSHIP APPLICATION
Name________________________________
Address_______________________________________________________
City ________________________________ State _________________ Zip Code ____________
Area Code _____________ Telephone Number _________________________________________
E-Mail Address _________________ ___________________________________________ __
MARK THE APPROPRIATE ITEMS:
(1) Annual DRAW Dues – New Member ___________ Renewal – Current # ___________
__________ Individual - $30 - Payable in US Funds
__________ Family - $50 - Payable in US Funds
(2) Donation to DRAW in the Amount of $ __________
(3) I would like to Receive:
DRAWing Attention (One Newsletter Per Family Membership) Yes _____ No _____
I would like to receive my newsletter by e-mail Yes ___ No ___
FORM OF PAYMENT:
(1) Credit Card Number __________________________ Expiration Date (4 Digits)________ Three Numbers on Back of Card ______
Name As It Appears on Credit Card _____________________________________________
Type of Credit Card Visa Master Card American Express Amount ____________
Customer Signature X Date _____________
(2) Check # Amount Make check payable to DRAW
(3) Cash Amount __________
Mail to: DRAW Membership Secretary – Olan Gotcher – 102 Walnut Drive – Oak Leaf, TX 75154
Please allow 6 to 8 weeks for processing of your information
