Oklahoma Association on Higher Education and Disability

Membership Application/ Renewal Form OK-AHEAD

1. Applying as a...

   New member
   Renewal
   
   
2. Name
3. Job Title
4. Institution/
   Organization
5. Address
6. City
7. State
8. Zip
9. Phone
10. Email address

11. Types of Membership

    • Institutional I Membership (Postsecondary institutions only): 1-3 members may join from single or multi-campus setting. Please use separate sheet for each member. $50

    • Institutional II Membership (Postsecondary institutions only): 4-8 members may join from single or multi-campus setting. Please use separate sheet for each member. $75

    • Associate Membership: Employed in any arena related to services for individuals with disabilities. $15

    • Affiliate Membership: Open to students advocates, and retired professionals. Free

12. 
    
    Choice of Membership

    Institutional I Membership, $50
    Institutional II Membership, $75
    Associate Membership, $15
    Affiliate Membership, Free
    
13. 
    
    PO# or Check?

    PO#  
    Check
    
    

Make checks and purchase orders payable to "OK-AHEAD."

OK-AHEAD's EIN: 73-1496378

Mail membership application to:

When the form is submitted, a print option will display. The form results will also be sent to the OK-AHEAD Treasurer.