2017 OIW ASSEMBLY REGISTRATION FORM
Kansas City, Missouri
Sept. 14, 2017 - Sept. 17, 2017
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):
I am paying my 2017 dues of $30.00/year now (or $45.00 for a family membership)
I am paying a deposit of $200 for the following: (Balance of $275) 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 $475 per person*
Spouse of OIW Member -- Fee of $475*
- Add $15 if spouse is not a current OIW member $ Friend of OIW Member -- Fee of $475* $ - Add $30 if friend is not a current OIW member $
Full payment is due by September 1, 2017
Total enclosed with registration (plus dues if applicable)
*DOES NOT INCLUDE HOTEL COSTS!
Full payment is due by September 1, 2017!
No refunds after August 20, 2017!
Name(s) ______________________________ & _______________________________
City, State, Zip _______________________________
Email Address ________________________________
Please send check or money order to:
OIW 2017 Assembly, P.O. Box 1650, Johnstown, CO 80534