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Directory Results for 20152016 Membership Application / Invoice Please Type or Print First Name: MI: R Last Name: Title: Agency/Organization: Mailing Address: Street Address: City: State: ZIP Code: State Courier#: Office Phone: Fax: Email: Website: Name of to 20152016 MEMBERSHIP APPLICATION CLASS A, SUPT, D, C, F OR S (Please read OGSA Bylaws and Classifications) FIRST NAME: LAST NAME: HOME ADDRESS: PHONE NUMBER: CITY: PROVINCE/STATE: POSTAL CODE/ZIP: PRIMARY EMAIL: SECONDARY EMAIL: I CONSENT TO