The CAAVA Membership Form
Support CAAVAA’s vital work for abused, exploited and neglected vulnerable adults by becoming a member of the Oklahoma CAAVA Association.
Date:________________
Individual and Organizational Memberships
Membership Status:
- New Membership
- Membership Renewal
Membership:
- Annual Individual Membership: $25.00
- Annual Organizational Membership: $50.00
Payment:
- Check Enclosed
- Send an invoice to (for organizations only):
Organization _________________________________________
Attention ___________________________________________
Phone _______________________ FEI No. ______________
Address ____________________________________________
City ______________________ State ______ Zip _________
Individual Member or Organization Representative (Person completing the Organizational Membership Application or who will be representing the organization):
Name: ________________________________________________________________
Address: ______________________________________________________________
City: ______________________ State: __________________ Zip ______________
Phone: _________________________ FAX: ________________________
E-mail: ________________________________________________________________
Mail the Membership form and your check to:
CAAVA, Inc., P.O. Box 700063, Oklahoma City, OK 73107
Phone: (405) 521-2281 FAX: (405) 522-6737