Membership Application Form

Please print out this form, complete it
 and mail along with your check to:

Historic Waxahachie Inc.
P.O. Box 22
Waxahachie, Texas 75168

For your tax information, HWI is a 501 (c)(3) corporation. Your membership is tax deductible. Membership is for the calendar year. If you wish to be in the roster,
please make sure your dues are paid by February 1.
New Member __      Renewal___

Would you like to be on a mailing list to receive any updates of news concerning Historic Waxahachie Inc. via e-mail?

Yes___     No___


Put a check mark beside the Member Level you prefer:

___Household ($25)   ___Patron ($75)   ___Benefactor ($125)

___Corporate ($250)    ___Lifetime ($500)

Date  __________________                       Name _______________________

Address ________________                       City/State/ZIP ________________

E-mail _________________                       Phones ______________________

Would you like to serve on a committee or committees?

Yes ___       No___

Put a check mark by your choice of committee assignments

__Community Involvement     __Courthouse Tours    __Downtown Tours     __Driving Tour Maps

__Educational Programs           __Historic Markers     __Membership         __Public Relations

__Oral History         __Social