E-MAIL ADDRESS _____________________________________________________
MAILING ADDRESS ____________________________________________________
PHONE NUMBER ______________________________________________________
WHICH CATEGORY? ACTIVE MEMBER ____________ FRIEND ___________
As an Active Member your email will be forwarded to the Stephen Lewis Foundation so that you will receive the Granny Bulletin directly from them. As a Friend Member you will receive OMAS monthly newsletter, the DRUM BEAT.
Please share your employment (present or former) / volunteer work / interests.
Please indicate your area/s of interest and/or expertise.
Chair Secretary Treasurer
Planners Education Publicity/Promotion
Producers Volunteer Pool (all members become part of this)
I give permission to include my contact information in the OMAS SISKONA
Directory: Y ___ N ___ Signature: _____________________________________
(If replying by email, copy and paste this form to a WORD file, fill it in, save it and email it as an attachment to email@example.com)