OASIS Associate Members
Membership Form
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Name of Organization
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Your answer
Mailing Address
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Your answer
Email to send membership invoice.
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Your answer
Name and Title of Contact Person
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Your answer
Phone # of Contact Person
*
Your answer
I want to enroll as
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Bronze Level Associate Member for $250
Silver Level Associate Member for $750
Gold Level Associate Member for $1,000
Platinum Level Assoicate Member for $2,000
Yes, I will have a booth at the State Conference ($100 for Bronze Level)
I will need a table
I need space to set up a display, but no table is needed
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