Los Angeles Oracle Users Group
Individual Membership Application
Calendar Year - Jan. through Dec.
| Name: | ________________________________________ |
| Title: | ________________________________________ |
| Organization: | ________________________________________ |
| Address: | ________________________________________ |
| ________________________________________ | |
| City/ST/Zip: | ________________________________________ |
| Mail Code: | ________________________________________ |
| Daytime Phone: | ________________________________________ |
| FAX: | ________________________________________ |
| E-Mail: | ________________________________________ |
What level of technical presentation are you interested in? Advanced /
Intermediate / Novice
Can you volunteer to help the LAOUG? Yes / No
If yes, in what
way?_________________________________________________
| 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
Individual Memberships (One meeting attendance per quarter; Individual Memberships are non-transferrable.) $100 per year
Enclosed total membership fee = $______________
Signature________________________________________
Date___________________
Make checks payable to:
LAOUG
P.O. BOX 540
Los Alamitos, CA 90720-0540
For your convenience, you may also bring this form with your payment to the next scheduled conference. Renewals are not automatic and must be sent in prior to the first conference of each calendar year to activate your membership benefits for the entire year.
For more info, call Membership Chair, Richard Villaran 562-430-4977.