Old Blanco County Courthouse Preservation Society
PO Box 302;  Blanco, Texas 78606-0302

2012 Membership:

____ Individual Membership ($20)	___ Organization/Business ($100)
____ Couple/Family Membership ($40)	___ Life Membership, Individual ($500)

I want to donate to:
$____ Landscaping (grass, foundation plants, maintenance, debt reduction, benches)
$____ Additional restoration (roof elements, interior offices)
$ ____ General Courthouse Operations

I want to volunteer: 2012 Gala, Building Restoration, Landscaping, Publicity, Holiday Lighting, Visitor Center
(Circle your area of interest).

Name(s):________________________________________________________________

Mailing Address:____________________________________________________________

Telephone: ________________________ Email:__________________________________

OBCCPS is a 501(c) (3) corporation.

Please return completed form to above address.