Print and mail this form to T.P.O.W.E.R., PO Box 234, Riesel, TX 76682. Or, contact by Phone: 254-498-3793 or 254-716-3966. Or you can email your name, address and phone number to gunnyRLB@aol.com.

YOUR Contact Information:

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First Name

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Last Name

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Address Line 1

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Address Line 2

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City

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State

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Zip Code

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Phone

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Email

Mail your membership form to:

T.P.O.W.E.R.
PO Box 234
Riesel, TX 76682