2010 OIW ASSEMBLY REGISTRATION FORM
PRINT OUT REGISTRATION FORM & MAIL IT TO:
OIW, PO BOX 1650, JOHNSTOWN, COLORADO 80534
I am a current OIW member with dues paid (circle one): YES NO I am paying my 2010 dues of $30.00/year now (or $45.00 for a family membership)
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I am paying a deposit of $150 for the following: Current OIW Member $ Spouse of OIW Member (Add $15 if spouse is not a current OIW member) $ Friend of OIW Member (Add $30 if friend is not a current OIW member) $ I am paying the following fees in full:
Current OIW Member -- Assembly fee of $345 per person
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Spouse of OIW Member -- Fee of $345 (Must be a member of OIW -- Add $15)
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Friend of OIW Member -- Fee of $345 (Must be a member of OIW -- Add $30) $ Full payment is due by August 20, 2010
Total enclosed with registration (plus dues if applicable)
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Deposits are due now.
NO REFUNDS AFTER AUGUST 20, 2010!
Name(s) _____________________________________ & _______________________________________
Address _____________________________________
City, State, Zip _______________________________
Phone _______________________________________
Email Address ________________________________
Please send check or money order to:
OIW 2010 Assembly, P.O. Box 1650, Johnstown, CO 80534