Membership Application Form

Membership Application Form

ALPHA RHO TAU
MEMBERSHIP APPLICATION FORM

Make checks payable to  Alpha Rho Tau
Drop them off at our meetings, 
Or mail to our treasurer:
Charlene Pennington
10813 E 101st St N.
Owasso, OK 74055 
Please update the information below and include it with your payment  of    $30.00:
Name ___________________________Date ______________________
Address:  ________________________ City:______________ State:  ___ Zip:_________
Phone #:  ________________________ E-Mail____________________________
Amount Paid_____________cash__check__check#____________
I am including or e-mailing a photo for the directory       YES____         NO___
                  (e-mail to:Joey Frisillo   jfrisillo@cimtel.net  )
I will Volunteer Time to Help Our Organization with:
Board Position (elected)
_____President   _____Vice President (Program Dir.)
_____Secretary   _____Treasurer
Committees to serve on:   All committees need workers as well as chairpeople.
_____Historian   _____Publicity   _____ Art Exhibits
_____Telephone  _____Hospitalitiy  _____Membership Directory
____ Host/Hostess   _____Scholarship  _____Newsletter Editor
_____Cheer   _____Raffle   _____Web site Manager
Meetings March thru Nov.        The dues year is from January 1 through December 31. 
Scholarship Fund Donation (optional)    $ ___________ 


Contact Charleen at:  Phone # 918-272-7350     e-mail:  cbpenn@sbcglobal.net