OMS New Member Application

Enrollment

Who is joining?: *

One person ($25)

Your family ($30)

Senior ($22)

Full-time student ($22)

I agree to OMS Liability Waiver

By checking this box you (and any associated family members) agree to the OMS Liability Waiver

Primary Contact Information

First Name: *

Last Name: *

Street Address: *

City: *

State: *

Zip: *

USPS bulk mail requires 9 digit zip. Lookup your 9 digit zip code

Email:

If you enter your email, we will generate a web site username and password for you (which you can change by visiting your account page). With a website account, you'll be able to update your personal information, and post to the site forum. If you do not enter an email, you can still join the OMS but you will not get a web site account. If you are getting a family membership and you would like other family members to have their own web account, please request this from OMS upon joining.

Home phone: *

ex: 503-999-9999

Secondary Name:

You can add a secondary name to the account.

Publish my contact information in the OMS roster: *

yes

How would you prefer to receive our members' newsletter "Mushrumors":

by email

by US Postal Service

Interests

Please indicate your interest level in the following areas:

Cookery:

Cultivation:

Fall show:

Field trips:

Forays:

Leadership:

Library / Book sales:

Identification:

website: