2019-2020 OTAH Membership Application
Vision Statement:
The vision of the Occupational Therapy Association of Hawaii is to be a well respected organization committed to providing educational opportunities, legislative and advocacy networks to its members.

Mission Statement:
The mission of the Occupational Therapy Association of Hawaii is to promote the advancement of the practice of occupational therapy and to serve as an advocate for our members and consumers in Hawaii.
Last Name *
First Name *
Email address: *
Home Phone number *
Employer *
Work Street Address *
Work City and State
Work Zip Code
Home Address *
Home City and State *
Home Zip Code
Work Phone Number *
Work Fax Number
Membership Type *
Political Action Contribution
If you would like to make a contribution towards OTAH's political action campaign, please specify the amount. Payment will be billed separately from your membership dues or write a check to OTAH PAC.
I would like to donate the following amount to OTAH's PAC
Payment Options for Membership *
Are you interested in volunteering for OTAH? *
Areas that you're interested in volunteering for:
Please check all that apply:
Need more information?
For additional information, contact Jeannette at (808)949-0451 or jingu@hawaii.rr.com
*OTAH has gone GREEN! Your returned check or credit card statement (via our new online payment system) will confirm receipt of payment for membership
Please note the following:
**NOTE: OTAH membership year is from July 1, 2019 to June 30, 2020. OTR and COTA OTAH members have voting privileges, and may hold any office or chair a committee. Student members are eligible to vote and serve on a committee, but unable to hold an elected position. Associate members may serve on committees and are not eligible to vote. Only 80% of your dues are tax deductible, as 20% is allocated to political action. Contributions to political action are NOT tax deductible.
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