Application for Membership

 Oasis # 238

of Harlem, Georgia

(Birthplace of Oliver Norvell Hardy)

Date:

Type of Membership: Individual ($15/year) OR Family ($25/year)

Name(s):

Mailing Address:

 

E-mail Address:

Telephone #:

Dues Amount Paid:

 

Please make checks or money orders payable to:

"Berth Marks Tent"

You may either bring this form and dues directly to :

The Laurel and Hardy Museum

250 N. Louisville Street

Harlem, Georgia

or, mail it to :

The Laurel and Hardy Museum

P.O. Box 99

Harlem, Georgia 30814

"Two Minds Without a Single Thought"