

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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