Shared Top Border
Columbus Chapter
home
|
aboutOCA
|
events
|
info
|
news
|
membership
|
statements
|
photos
|
contact
Member Registration
Last(Family) name:
First(Given) name :
Spouse name:
Email:
Email:
Office Phone:
Office Phone:
Organization:
Organization:
Occupation:
Occupation:
Child 1 name:
sex:
year born:
Child 2 name:
sex:
year born:
Userid:
Password:
Home Phone:
Fax:
Address:
City:
State:
Zip code:
Check the correct circle in the following:
Status:
citizen
permanent resident
Membership:
family $45
individual $25
student $15
For userid and password, please do not use space or symbols.
Enter phone/fax number as xxx-xxx-xxxx.
Only citizens or permanent residents qualify as members.
Please check carefully before clicking the "submit" button.
