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Join the HCYR Auxiliary!

To be included in the HCYR Auxiliary Membership Directory, this form with your $20.00 membership dues should be submitted to the HCYRA before October 31st.

Dues may be dropped off at the HCYR Thrift Store: 3171 Junction Highway, Ingram, Texas 78025, or mailed to Jeanette Vaughan at P.O. Box 309, Ingram, Texas, 78025.
Checks should be made out to “HCYR Auxiliary”.

Name

First Name

Last Name

Name as it should appear in Directory and on Name Tag:

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Home Phone

(###)

###

####

I am interested in being involved in the following Auxiliary activities:

Thrift Store Volunteer

Children's Birthday Celebrations

Activity Chairperson

Style Show (Annual Fundraiser)

Silent Auction (Annual Fundraiser)

Mentoring at the Ranch

Helping with Social Events

Serve on the Board

Other

Typed Signature

Date

YYYY