Name: Last ___________________ First _________________ M.I.______
City________________ State ____ Zip __________
Home Phone Number (including area code): ____________________________
Home E-mail: _______________________________
Employer/Business Name: ____________________________
City_________________ State ____ Zip _____________
Business Phone: _____________________________
Business Fax: _____________________________
Business Mobile Phone: _____________________________
Business E-Mail _____________________________
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 checking the box below.
I prefer to be receive official correspondence from the Oregon GPS Users Group at my
___ Home Address;
___ Business Address
___ I DO NOT have electronic mail readily available to me and I request correspondence from the Oregon GPS User Group by parcel post.
Membership Type: (Check One)
___ Corporate Member: I certify 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 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 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 signature below that I do not meet 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 the GPS, and/or, that I am not a resident of Oregon. $6.00 annual dues.
__________________________________ Date _____________________
Send completed membership application form mail to:
Lisa Lee, Secretary
Oregon GPS User Group
c/o Central Oregon Irrigation District
2598 N Hwy 97
Redmond, OR 97756
2. Enclose a check for dues payable to "Oregon GPS User Group". Dues for Corporate Members are $12.00 annually, and dues for Affiliate Members are $6.00 annually.