Membership Application

Membership is by calendar year from January 1 to December 31.

All memberships terminate on December 31 of each year. Membership

can include up to two separate names in the same family, living at

the same address.

MCG&HS Membership Application

Please Print!

o  New Address                                                    o  New

o   New Email                                                        o Renewal

o  Yes, I would like to receive Newsletters & The Herald, etc.

     online

o  No, I would not like to receive Newsletters & The Herald

     etc. online

Dues:

o  $25.00 Individual/Family Membership

o  $10.00 Student Membership

o  $100.00 Corporate Membership

Name 1:______________________________________________________________________

Name 2:______________________________________________________________________

Address:____________________________________________________________________

City:______________________________________ State: _______ Zip+4:_______________

Home Phone:________________________________________________________________

Work Phone: _________________________________________________________________

Cell Phone: __________________________________________________________________ 

Email 1:______________________________________________________________________

Email 2:______________________________________________________________________

Past/Present Occupation/Hobbies:__________________________________

__________________________________________________________

__________________________________________________________

Mail your application along with your check or money order payable to:

MCG&HS, Inc.
P O Box 867

Conroe, TX 77305-0867