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HEIRS
HEIRS NEW MEMBER DUES PAYMENT FORM
For payment by mail
MEMBERSHIP WILL BE UPDATED UPON RECEIPT OF YOUR PAYMENT & PROCESSING TIME
(Print completed form and submit with payment)

Fields with * are required.
       
Name:*
Address:*
City:*
State:*
Zip:*
Email:* (abc@def.com)
Phone No:*
Date:* (XX-XX-XXXX)
       
IF CLIENT, NAME OF LAND GRANT AND GROUP:
Land Grant : Group No :
       
NAMES OF HEIRS MEMBERS OR CLIENTS ALSO WITH THE ABOVE ADDRESS:
 
Name:
Name:
Name:
Name:
       
Note: NEW HEIRS MEMBERS $50.00 Payment - Please mail your $50.00 cashier checks or money orders to HEIRS, P. O. Box 490, La Porte, TX 77572, to the attention of MRS. LAURA BATA. Please be sure to reference the original grantee you descend from, and if a client of Ms. Fowler's, your group number, on your payment. If you have questions about your payment, you may contact Laura Bata (pronounced Bay tah) at 281-471-6630, or landgrant22@yahoo.com
       
 
 
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