Membership Application

Copy, paste, then print to fill out

The Brennan Society Honoring William J. Brennan, Jr.
Former United States Supreme Court Justice
Membership Application

(Please Print)
Preferred Name______________________________________________________________

Mailing Address______________________________________________________________

(City, State, Zip Code)________________________________________________________

E-mail Address (Note Case Sensitive Letters)__________________________________________

Home Telephone Number (________)____________________________________________

Cell Telephone Number (________)______________________________________________

The Single Most Important Public Issue to Me Is:



circle one:

Enclosed is My Check for $20 for My Current Year’s Membership*
Enclosed is My Check for $200 for My Lifetime Membership

Please Mail to: Brennan Society, 2109 Rushing Meadows, Edmond, OK 73013

Please Make Your Check Payable to: The Brennan Society

* This Annual Membership Expires January of the Next Calendar Year.

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