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To join the Tom Mix Museum simply print and complete this form. Then mail with your membership fee - either check or credit card -  to:
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Tom Mix Museum
PO Box 190
Dewey, OK 74029
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​                                                                             Annual

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Territory Governor                      $10,000.

Deputy U.S. Marshall                   $5,000.               

Night Marshall                              $2,500. 

Madame                                          $1,000.

          Bounty Hunter                                $500.

                    Sheriff                                               $250.

                    Deputy Sheriff                                  $100.

                    Posse (family)                                     $50.

                    Range Rider (individual)                   $25.

                    Jr. Marshal (student)                          $10.

Name_______________________________________________________________________________________     

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Address_____________________________________________________________________________________     

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City, State, Zip _______________________________________________________________________________    

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Phone ____________________________________________________   

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email ______________________________________________________________________________________

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Mastercard___    Visa____    Exp. Date____________

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Card Number ________________________________________________

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Signature ____________________________________________________

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