Oklahoma Reading Association Membership Form

Please print this form and mail:

Remit ORA dues to: Pamela Hamman 2442 Edgewood Drive, Enid, Ok 73703

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Date___________________________

Name (Last, First) _________________________________________ ORA Membership: New _________ Renewal _________

Mailing Address ________________________________________________ IRA Membership: Yes __________ No ___________

City ______________________________ State: OK Zip_______________ IRA # _____________________ Expires ____________

Telephone: (home) (        )__________________________________ fax: (         ) ______________________________________

(work) (        )________________________________ e-mail: _______________________________________________

District________________________________________________

School___________________________________________________

Are you a member of your local council? Yes / No    Name of council ______________________________________________

Position: (Please Circle): Elementary     Secondary     Administration     Higher Ed.     Other __________________________________

ORA DUES: $20.00

College Student Dues: $5.00 Name of Higher Ed. Institution ___________________________________________