Gift Membership

Name: Gift Membership
SKU: 22839
Availability: InStock

$0.00

Gift Membership Form

(Note: Use separate form for New, Renewal and Group Memberships)

Your Name and Contact Number

Gift Recipient Information:

(Dr.) (Mr.) (Mrs.) (Ms.)

First Name Middle (if any) Last Name

Email Address

Contact Number

Home Address

Residence Number and Street City State ZIP Code

Check Gift Membership Category Below

Regular

Retired

Full-time student at

College/University Name

Note: All memberships include a subscription to OMEP’s publication, International Journal of Early Childhood (IJEC)

Optional Additional Contributions(Required)

Tax Deductible Contribution for Our Worthy Programs and Projects

Gwen Coe Scholarship Fund

Price(Required)

Total Due

Signature

Date

To pay by credit or debit please visit our website at https://omepusa.org
To pay by check, make check payable to OMEP-USA and send with this completed form to: Ebony Cray, OMEP-USA President, PO Box 830215, Stone Mountain, GA 30083

*OMEP-USNC/OMEP-USA is a not-for-profit organization. #52-6061431 Donations are tax-deductible as allowed by the Internal Revenue Code.

Subtotal
Options
Total

Category: Uncategorized

Gift Membership

Gift Membership Form

Site Links

Quick Links

Follow Us