Trails Head membership

TRAILS HEAD MEMBERSHIP APPLICATION

Send in the following information (you can either print this form OR write up the requested information on a sheet of paper) to the following address along with your check. You must register for membership in OCTA at the same time as registering for membership in the Trails Head Chapter because all Trails Head members must also be members of the national OCTA organization.

Send dues** to:   James Budde
11712 Glen Arbor Terr.
Kansas City, MO  64114-5559




Name:___________________________________

Address:_________________________________

City:___________________________________

State:_______ Zip:________-_______

Enclosed Amount** ($10 for yearly membership):__________________________

**Make check payable to: OCTA/Trails Head Chapter




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