Name:_____________________________________________
Address:___________________________________________
City, State _______________________Zip:_______________
TTY PHONE:_______________VOICE PHONE:___________
VIDEOPHONE:______________________________________
FAX PHONE:________________________________________
EMAIL ADDRESS:___________________________________
TOTAL PAID: $______________________________________
CHECK WHICH IS APPLICABLE:
Active members renewals: $12.00
First year membership: $17.00
Student membership under the age of 18: FREE
Money Order or Check
Payable to OAD
Mail to: Ron Lawer, Treasurer
2218 Yankee Dr.
Sulphur, Oklahoma 73086
OAD is a 501 (c)3 organization. All contributions are tax-deductible.
There will be a $25.00 charge on all returned checks.
Thank you for your support of OAD!
