Yes! I want to be a member of The Museum of Western Art.

Please enroll me in the category shown below:

Please print out and complete this form.
Mail or Fax to The Museum of Western Art.
Thanks for your membership support!

_____ WAGONMASTER (Patron)

$500

_____ RANGERIDER (Supporting)

$250

_____ WRANGLER (Friend)

$100

_____ SETTLER (Family)

$50

_____ COWBOY (Individual)

$30

And Remember, We Qualify for Corporate Matching Grants Programs.

Mr. / Mrs. / Ms. (Please circle one)

Name:

Address:

City, State, and Zip:

Telephone Number:

For the Settler category or any category of greater value, membership cards will be issued for immediate family members who live in your household. Please identify those family members:

Please make checks payable to: The Museum of Western Art

Charge to: __________Visa __________ Mastercard __________ American Express __________ Discover
Card Number	Expiration Date	Your Signature

Mail the Completed Form To:
The Museum of Western Art
P.O. Box 294300
Kerrville, TX 78029-4300

Fax The Completed Form To:
(830) 896-2556

OFFICE USE ONLY	_____COMP
Code#	_____LTR
Date Paid	_____M CARD
CK#	_____PTR