To apply, print
and fill out this form and mail it to:
Captain Perry Texas Ranger Museum
P. O. Box 485
Johnson City, Texas 78636
Texas Ranger Memorial Wall Sponsor Information
Name of sponsor: ___________________________________________________
Mailing Address: ___________________________________________________
City: _________________________________ State: ____ Zip: ________________
Telephone Number: _____________________________________
Email Address: _________________________________________
Applicant Information
Please provide the following information in the manner you wish for it to appear on the wall:
Applicant's Name: ___________________________________________________
Rank: _____________________________________________________________
Unit Designation: ____________________________________________________
Term of Service: _____________________________________________________
Provide supporting information,
references, archival information, etc. to support applicant's qualifications
to be included on the Texas Ranger Memorial Wall. Additional materials may be
included with the application.
The above information is true and correct to the best of my knowledge
Signature of sponsor: _______________________________________ Date _________________
Please include the following:
1. Completed application form
2. Copies of supporting documentation
3. Check or Money Order for $25.00 application fee
Thank you for your support.
THE CAPTAIN PERRY TEXAS RANGER MUSEUM
| Return to Memorial Wall Applicant Requirements |