MEMBERSHIP

2019 NEOWTA Membership

Dues for 2019 are $55

Send Check to:

Phil Buchman, Treasurer

5344 S 73rd East Ave

Tulsa, OK 74145

Download the PDF form: NEOWTA MEBERSHIP FORM2019

Name __________________________________________

Address _________________________________________

City _____________________ State ______ Zip __________

Home Phone  __(_____)_____________________________

Cell Phone  __(_____)_______________________________

email ___________________________________________

Spouse Name _____________________________________

Dues ($55)  _________________

Donation * to General Fund _____________

Donation* to Building Fund _____________

*Donation to be included in "Above and Beyond"

Are you willing to put on a program? Yes ______  No _______