Preservation Society
P. O. Box 957
Shreveport, LA 71163
(318) 221-3388

Membership Application

Name ________________________________________

Street/P.O. ____________________________________

City ____________________ State _____ Zip ________

Phone ___________________ Fax _________________

Email Address __________________________________

Tee Shirt Order Form*

Shirt 

Imprint 

Size

Color

Color

Indicate S,M,L,XL

     
Forest Green    Tan  
Red    Tan  
Natural    Black  
Navy Blue    Tan  
White    Black  

*These top quality tees are locally designed and printed and are free to members (first shirt only).  Additional shirts may be purchased for $10 each. Please allow 3 weeks for your tees to arrive.

Print and complete this form and mail along with a check for your first year's dues of $20.00 payable to the McNeill Street Pumping Station Preservation Society (MSPSPS) and mail to P. O. Box 957, Shreveport, LA 71163.

 

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