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pflagbeaumont@gmail.com

PO Box 727
Beaumont, TX 77702

Membership Form

Oct. 1, 2025 - Sept. 30, 2026

Membership*

New Member

Renewal

First name*

Last name*

Other Household Members (Family Membership)

Address

Phone*

Email*

Please select one of the following:

Student/Low Income - $10

Individual - $25

Family - $35

Supporter - $100

Patron - $250

Sponsor - $500

Benefactor - $1,000

Feel free to introduce yourself!

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