FOCB Membership Application

Friends of the Oklahoma Center for the Book Membership Request Form

To apply, please complete all questions for FOCB membership
Name

PrefixFirst NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Membership Type - Please select the membership and quantity(s):*
prevnext( X )
Student Membership$15.00
K-12 or college/university student

Quantity

Individual Membership$40.00
Standard, non-student

Quantity

Lynn Riggs Membership Level$250.00
Individual Membership (placeholder while waiting on Board feedback) plus spouse/partner membership plus additional contribution to FOCB

Quantity

Angie Debo Membership Level$500.00
Individual Membership (placeholder while waiting on Board feedback) plus spouse/partner membership plus additional contribution to FOCB

Quantity

John Joseph Matthews Membership Level$1,000.00
Individual Membership (placeholder while waiting on Board feedback) plus spouse/partner membership plus additional contribution to FOCB

Quantity
Please use the "Print Form" button to print out this form PRIOR to clicking the "Apply for Membership" button below. Mail the printed application and your payment in the form of a check, cashier's check, or money order to:

Friends of the Oklahoma Center for the Book (FOCB)
PO Box 722778
Norman OK 73070
Should be Empty:

Friends of the Oklahoma Center for the Book Membership Request Form