Oklahoma
Indian Child Welfare Association,
Incorporated
OICWA
Counter
OKLAHOMA INDIAN CHILD WELFARE ASSOCIATION, INC.
P.O. Box 1274
Shawnee, OK 74802-1274
oicwa@yahoo.com
Copyright © 2010  Oklahoma Indian Child Welfare Association, Inc.
"Promoting the
well-being of
American Indian
children, their families,
and their tribes"
OICWA
Terms & Conditions    Disclaimer    Privacy Policy
Online Membership Application Form
This form may be completed online and submitted electronically by clicking on the submit
button below. This form is for individuals paying membership fee by credit card. Those choosing
to mail membership fee may download and print form and mail with payment. After
completing and submitting form, pay registration fee using your credit card by clicking on the
Pay Pal button below. Pay Pal is a secure payment method.
.
2010 Oklahoma Indian Child Welfare Association Membership
Membership Period: October 1, 2009 - September 30, 2010
Membership Fees:
• $75.00 Indian Group Membership
• $50.00 Associate Membership     
• $25.00 Individual Membership
.
OICWA reserves the right to deny an application for membership.
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Online Form (Complete All Applicable Fields)
Name:
Job Title:
Agency/Organization/
Business Name:
Mailing Address:
City/State/Zip:
Phone Number:
Fax Number:
Email Address:
Describe reason for
joining OICWA:
Membership Type (Check One):
Indian Group Membership
Associate Membership
Individual Membership
After submitting registration form, pay registration fee for selected Membership
Type by clicking on the corresponding PayPal button below.
Attention: OICWA reserves the right to deny an application for membership. If an
application for membership is denied, a full refund of the membership fee will be made.  
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OICWA Membership
Indian Group
Membership
$75.00
Associate
Membership
$50.00
Individual
Membership
$25.00