Trans-Pecos Renewal Center-P. O. Box 1712-Odessa, TX  79760 - 432.889.2693

2011 - Trans-Pecos American Indian Association Membership Registration Form:

Name:          Address:

City:             State:           Zip:

Phone:          E-Mail:   

  Individual Membership $35.00
  Family Membership $50.00 (if family membership  please list names on comments line)
  Corporate Membership $75.00
 

  1 year subscription to the monthly TPAIA Newsletter $25.00  (currently not available) 
 

Please make checks payable to: Trans-Pecos Renewal Center

Comments Here!                                                                                 2011 Membership Card will look similar to this one!
  Comments:
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