Society Member Registration Page

Shoeless Joe Jackson Society Registration Form

The form below is for on-line membership registration for the Shoeless Joe Jackson Society, membership is free. Please provide us with your e-mail address so that we may auto respond to your request.
Please note: Your information will never be given out to third parties and will only be used for Society business.

* Fields are required for processing your registration.

* Member ID:                * Password: 
* First Name: 
Middle Name: 
* Last Name: 
* Address: 
* City: 
* State:                * Postal Code: 
* Country: 
* Email Address:          Phone (8885551212): 
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