| Membership Information |
| OSWP MEMBERSHIP RENEWAL FORM Name _______________________________________________________________ Street Address ________________________________________________________ City _______________________ State _________ Zip _______________________ Phone number_______________ Please check one: New member___Renewing_____ Email address ________________________________________________________ Membership Category (Circle one) Individual - $20.00 Household $25.00 ____ Check here to receive your newsletter via email instead of US Mail. Select this option, and deduct $5.00 from your annual dues. You must have a valid email address listed above to select this option. Mail completed form and check payable to OSWP to: Rich Raiff, OSWP 106 Markham Drive Pittsburgh, PA 15228-1008 |