Membership Application

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 Application for Appointment to the Johnson County, Texas Historical Commission

(Please Print)

 

Date: ________________

 

 Name: ______________________________________________________

 

 Mailing Address: ______________________________________________

 

 City: ___________________________  Zip: ________________________

 

 Home Phone: _____________________ Cell: _______________________

  

Email: ______________________________________________________

 

 Projects you are interested in: __________________________________________________________

 

I agree to be an active member of the JCHC and understand that I should attend at least 2/3 of the JCHC meetings to retain appointment.

 

Initial: ______________

  

 Approval Date: ________________________

 

 

Application will be submitted to Johnson County Commissioner’s Court for final Appointment approval.