FILL OUT FORM, THEN PRINT IT, ENCLOSE CHECK MADE OUT TO OCHS AND

MAIL TO: Kathy Pacaud, 1011 No. Cypress, La Habra, CA 90631
HOME
NAME
ADDRESS
CITY
STATE, ZIP
PHONE
E MAIL FOR MEMBER LEVEL CHECK
$20.00 STUDENT* (with Copy of ID)
$20.00 SENIOR
$30.00 INDIVIDUAL
$45.00 FAMILY (at same address)
$60.00 SPONSOR
$100.00 PATRON
$300.00 LIFE MEMBERSHIP
$50.00 INSTITUTION*
$200.00 CORPORATE*
  * Non-voting Member
AMOUNT ENCLOSED