Application

Please fill out the form and click Submit at the bottom of the page, or print this page, fill out manually and mail to the following address. Please include a check for dues payable to Oregon GPS User Group and mail to:

Lisa Lee, Secretary
Oregon GPS User Group
c/o Central Oregon Irrigation District
1055 SW Lake Court
Redmond, OR 97756
(541) 504-7575

Dues are $12.00 for corporate members and $6.00 for affiliate members (see below for membership types).

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Application for Membership Form*

Last Name
First Name
M.I.
Home Address -Street
City
State
ZIP
Home phone number
Home email
Employer-Business Name
Job Title - Position
Business Address - Street
City
State
ZIP
Business phone
Business fax
Business cell
Business email
Business Web URL

*Note: ALL official correspondence from the Oregon GPS User Group will be by ELECTRONIC MAIL unless a member does not have electronic mail readily available and requests correspondence via parcel post by making the appropriate selection below.

Membership Type:

I prefer to receive official correspondence from the Oregon GPS User Group at my (please select one):

Corporate Member: I certify by clicking Submit (or by signature below) that I utilize GPS in the state of Oregon for the practice of surveying or mapping. $12.00 annual dues.

Affiliate Member (Associate): I certify clicking Submit (or by signature below) that I work in direct support of the GPS industry and the profession of surveying and mapping in the state of Oregon. $6.00 annual dues.

Affiliate Member (Student): I certify by clicking Submit (or by signature below) that I am enrolled as a full-time student in an approved surveying or mapping curriculum. $6.00 annual dues.

Affiliate Member (Special): I certify by clicking Submit (or by signature below) that I do not meet the qualifications for Corporate Member, Associate Member, or Student Member but, by virtue of my employment, service or training, have a particular interest in, or association with, the profession of surveying or mapping utilizing GPS, and/or, that I am not a resident of Oregon. $6.00 Annual dues.

_____________________________________ Date _____________________

Signature

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