DMAHL Membership Application / Solicitud de una Membresía:
Support our mission to preserve Mexican American History in Dallas, Texas. / Apoya nuestra misión para preservar la historia México-Americana en Dallas, Texas.
Email address *
Full Name (First, Middle Initial, and Last Name) / Nombre Completo *
Primary Phone Number / Número de Teléfono *
Mailing Address (Street, City, State, Zip) / Domicilio (Calle, ciudad, estado, código postal) *
When did you or your family move to the Dallas Metroplex? / ¿Cuándo se mudó usted o su familia a Dallas Metroplex?
Where did your family move from? / ¿De dónde es originaria su familia?
Which barrio(s) or area of the Metroplex did you live? / ¿En qué barrio o área vivió en el Metroplex?
Would you like the opportunity to be interviewed? (This is is done to record oral history.) / Gustaria oportunidad de participar en una entrevista?  (La intencion es grabar nuestra historia Hispana)
Clear selection
Indicate the DMAHL committees that are of interest to you: / Indique los comités de DMAHL que le interesan: *
Required
ANNUAL MEMBERSHIPS begin at the time the application and fees are submitted, expire on the last day of the calendar year, and are renewable each January thereafter. / La membresia ANUAL se obtiene con un pago unico y con renovacion de la memresia anual cada enero.
*Paid Memberships submitted during the last quarter of the year will be carried over to the next calendar year (EX: the end of 2021).
*Membresias pagadas durante el ultimo quarto del año se imputarán al siguiente año.
LIFETIME Memberships are a one time payment with automatic membership rollover each year. / La membresia DE POR VIDA se obtiene con un pago unico con renovacion anual automatico.
Are you a new member or renewing member? / Es usted un nuevo integrante o un integrante que está renovando? *
Select membership: / Seleccione la Membresía: *
If applying for a student membership please provide the name of the institution you attend and your student ID:
FEES will not be prorated to annual membership. / Las tarifas no seran prorrateadas con las membresias anuales.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy