Membership Form

If you are interested in becoming a member you must send a check along with this form. Membership begins upon receipt of your check. If you have any questions, please send inquiries to: MWiltjer@oprfhs.org

Complete and mail this application with your payment to:

MMC
415 S. Ridgeland Ave. #2
Oak Park, IL 60302

Name__________________________________________

Home address____________________________________

_______________________________________________

School/district____________________________________

School address____________________________________

________________________________________________

Home phone___________________ School phone_________________

Preferred mailing address (check one) _____Home _____School

Email address ____________________________________________

CATEGORY (circle one):

Teacher
Department Head
Supervisor
Curriculum
Administrator
Student
New Teacher
Retired

SCHOOL TYPE (circle one):

Elementary
Jr. High
Sr. High
Community College
College/University
Other ______________

Membership Dues

Regular = $20 (1 year), $35 (2 years), $50 (3 years)
Retired teachers = $12 (1 year), student or first year teachers = $10 (1 year)

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