2016.Membership Registration Form.pdf - Google Drive

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... additional donations are used to pay for piping and drumming scholarships, ... TOTAL ENCLOSED $. Page 1 of 1. 2016.M
Oregon Pipers Society Membership Form Individual Membership covers one adult for one season (Oct. 1 – Sept. 30). Family membership covers one household for one season (Oct. 1 – Sept. 30). One free admission is given with your new or renewed membership. Your membership dues and additional donations are used to pay for piping and drumming scholarships, performances, workshops, and venue rental. OPS is held once a month from October – April. Competition starts at 4:30 p.m. Evening performances start at 7:30 p.m. Admission is $5 for members and $10 for non-members. Kids 12 and under are Free.

MEMBERSHIP DUES

Name________________________________________________________________

Additional Family Member: ______________________________________________

Additional Family Member: ______________________________________________

Additional Family Member: ______________________________________________

Individual - $25

$

Family - $40

$

Include a Donation

$

TOTAL ENCLOSED

$

Questions? Email [email protected] Make Checks payable to: Oregon Pipers Society

Street Address ________________________________________________________

City _________________________________ State _________ Zip ______________

Email _______________________________________ Phone __________________

Date: _____________________

v.2016

Mail form and check to: OPS Membership 7844 Katherine St. NE Keizer, OR 97303