Wild West History Association
Yes, I want to become a Member of
Wild West History Association!
First Name
Last Name
Address
City
State
ZIP Code
Country
Home Phone
Other Phone
E-mail address
Occupation
Your particular interest in the Wild West:
Published:
Annual Membership Dues:
$45.00 (USA and Canada)
$65.00 (all other countries)
Please
complete
and
print
this form,
enclose payment to WWHA
, and mail to:
Karen Holliday Tanner
, WWHA Treasurer, P.O. Box 608, Fallbrook, CA 92088
Credit Card Number
Exp.
Signature
__________________________________
Name as it appears on card
