ORCA: Membership Form

Membership Application Please feel free to print this application form and mail it to the address listed below.
Name:
Organization (self, Scout troup, etc.):
Street Address:
City:			State:	Zip:
E-mail:				Phone # :
[ _ ] $6.00 Student Membership if paid in January, prorated $0.50 per month. [ _ ] $12.00 Individual Membership if paid in January, prorated $1 per month. [ _ ] $18.00 Family/Group Membership if paid in January, prorated $1.50 per month. Memberships good through December.
ORCA is a not-for-profit, volunteer-run organization and it is expected that club members help stage its events. Actually, this is a valuable learning opportunity! Please check all that apply:
[ _ ] Event participation [ _ ] Course setting [ _ ] Field checking [ _ ] Event organization	[ _ ] Writing [ _ ] Club administration [ _ ] Publicity	[ _ ] Teaching [ _ ] Helping at meets [ _ ] Other
Please make check payable to ORCA and mail payment and the completed application to: ORCA c/o Paula Whipple 1473 N. 9th St. Philomath, OR 97370