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Membership Application
Are you a current TEEOCA Member?
Yes, I would like to renew my membership
No, I would like to register as a new member
First Name
(required)
Last Name
Job Title
Company
Address
City
Zip Code
State
Email
(valid email required)
Will you serve on a committee?
Yes, I would like more information
No, not at this time
If Yes, What type of committee would you be interested in?
Programs
Membership
Communications
Special Events
Nominating
Method of Payment?
Pay Online with Paypal
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Check by mail
If Mailing Check, please send it by:
November 30, 2009
to:
TEEOCA FID#73-135-7268
P.O. Box 1542
Tulsa, Ok 74101-1542
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Monica Maple – TEEOCA Vice President
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Tulsa Equal Employment Opportunity Coordinators Association
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