Membership and Volunteer Interests Form

Contact Information:
*First Name:		*Last Name:
Occupation:		*Street Address:
*City:		*State:
*Zip Code:		**E-mail:
**Home Phone:		Work Phone:
Cell Phone:		Fax:
*Required fields. **Email or phone number is required.

Please add me to the Sustainable OKC ListSERV: Yes No

Skills – Knowledge- Abilities - Expertise:

(please check all that apply) Bookkeeping/Accounting Computer Expertise Cooking/Catering Database Management Data Entry Editing Events Planning Fundraising Gardening Grant Writing Graphic Design Law Photography Political Organizing Public Speaking Teaching Visual Arts Web design/Maintenance Writing

Sustainability Interests:

(please check all that apply) Culture Education Energy Food Garden/Farming Green Design Health Social justice Transportation

Volunteer Committees:

(To select, please check the committee(s) you have an interest in working with) PR / Marketing Development / Fundraising Education / Special Projects Volunteer and Member Management

Action Group:

(To select, please check the action group(s) you have an interest in working with) Urban Development Food/Agriculture

Yes! I’m interested in becoming a member of Sustainable OKC! Membership is free! (Please check your response below to select membership level.) Send a check to: Sustainable OKC, P.O. Box 54665, OKC, OK 73154, or we will invoice you later. Seedling – voluntary donation $10 Flower – voluntary donation $25 Treehugger – voluntary donation $50 Mother Earth – voluntary donation $100 Member – No donation now. Maybe later!

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