Fed Tax ID: 77-0379394 (incorporated since 03/98)
CA-FTB ID: 2082690 (since 03/98)

Company ________________________________________ 
Address ______________________________________ 
________________________________________ 
City __________________________________ 
State____ Zip____________ 
 

1. Name: ___________________________ 
   Phone: (___)______________________ 
   Title: ___________________________ 
   FAX: (___)______________________ 
   E-Mail: ________________________ 
   Mail Code: ___________________ 
   

   ---

2. Name: ___________________________ 
   Phone: (___)______________________ 
   Title: ___________________________ 
   FAX: (___)______________________ 
   E-Mail: ________________________ 
   Mail Code: ___________________ 
   

   ---

3. Name: ___________________________ 
   Phone: (___)______________________ 
   Title: ___________________________ 
   FAX: (___)______________________ 
   E-Mail: ________________________ 
   Mail Code: ___________________ 
   

   ---

4. Name: ___________________________ 
   Phone: (___)______________________ 
   Title: ___________________________ 
   FAX: (___)______________________ 
   E-Mail: ________________________ 
   Mail Code: ___________________ 
   

   ---

5. Name: ___________________________ 
   Phone: (___)______________________ 
   Title: ___________________________ 
   FAX: (___)______________________ 
   E-Mail: ________________________ 
   Mail Code: ___________________ 
   

   ---

6. Name: ___________________________ 
   Phone: (___)______________________ 
   Title: ___________________________ 
   FAX: (___)______________________ 
   E-Mail: ________________________ 
   Mail Code: ___________________ 

Oracle Product Profile (List version numbers) 
Computer Platform(s) __________________________________________________ 
Operating System(s) __________________________________________________ 
Network(s) / SQL*Net(s) ________________________________________________ 
Forms Tool(s) __________________________________________________ 
Reports Tool(s) __________________________________________________ 
CASE Tool(s) __________________________________________________ 
Oracle Application(s) __________________________________________________ 

Membership Dues

Corporate Memberships include attendance for up to six individuals per membership at each conference.  If purchasing more than one corporate membership, please list other corporate members on additional forms.
Corporate memberships may be transferred to other employees at any time. 

Membership Qty. _______ x $650 per year = $______________ 

Signature________________________________________ 
Date___________________ 

Make checks payable to: 

LAOUG 
P.O. BOX 540 
Los Alamitos, CA 90720-0540 

For more info, call Membership Chair, Richard Villaran 562-430-4977.