Save Austin's Cemeteries

Member Information:

Do Not Publish:
Name:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Work Phone:
E-Mail Address:

Membership Level:

		$35.00		Individual
		$15.00		Student
		$500.00		Lifetime
		$1000.00		Corporate

We are always looking for volunteers. Please indicate your area(s) of expertise, which you are willing to share with the organization.

		Accounting				Management
		Advertising				Photography
		Computer Skills				Preservation
		Event Planning				Public Relations
		Fund Raising				Research

I am interested in becoming a board member:  

My primary interest is:

I have family interred at these Austin, TX cemeteries:

I understand any data, project development, photos, etc... I submit to or produce for Save Austin's Cemeteries may be used for fund raising and will eventually become the property of the Austin History Center.

Applicant's Signature:________________________________________________

Date:_______________________________________