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OASIS FY20 Associate Membership
NAME OF ORGANIZATION
COMPLETE MAILING ADDRESS
EMAIL TO SEND MEMBERSHIP INVOICE
NAME AND TITLE OF CONTACT PERSON
PHONE # OF CONTACT PERSON
I WANT TO ENROLL AS:
Bronze Level for $500 membership fee
Silver Level for $1,000 membership fee
Gold Level for $2,000 membership fee
Affiliate / Tribal Dues for $250
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