OCA Membership Form

Step 1

Select One	Annual Fee	OCA Membership Type
	$25	Patron Membership
	$10	Regular Membership
	$5	Youth Membership (under age 19) Please provide date of birth__________

Step 2

Prepare a check or money order to OCA for the amount you indicated above.

Step 3

Circle one:     New Membership     /     Renewal     /     Upgrade

Step 4

Please legibly fill in the following information. Items in bold are required.

Name

Organization

USCF Member #

Street Address

City, State Zip

Email Address*

Fax

Home Phone

Work Phone

Cell Phone

Step 5

Mail this form with the payment to:
Oklahoma Chess Association, 1006 N Faulkner Place, Claremore, OK 74017

*Information Confidentiality Statement

The OCA really does need your email address to help reduce the cost of communications to the membership. The OCA mailing list is strictly confidential and not shared with any other organization. Emailings will be done using special software that prevents visibility to your email address for others on the distribution and will clearly state OCA or Oklahoma Chess in the message subject. You can trust OCA to not disclose your information to anyone other than those OCA officers who distribute to the membership.