GET INVOLVED – JOIN!!

TASK FORCE OMEGA OF MISSOURI, INC. – CHAPTER 1

                                                                                                                   Price

¨    Annual Individual Membership                           $20.00

¨    Annual Family Membership                               $30.00

¨    List names of family members:

¨    Members-At-Large Individual Membership        $50.00

¨    Members-At-Large Family Membership             $60.00

¨    Sponsor Members                                            $100.00

¨    10” TFO Back Patch (members only)                $15.00

¨    3” Chapter Patch (members only)                      $7.00

                                                    Subtotal: ___________

                                                         Total: ___________

Name:                                                                                               

Address:                                                                                           

City: _________________________State: ______ Zip: ________

Phone:                                                                                              

Cell:                                                                                                  

Email: