OKLAHOMA GREEN PARTY

MEMBERSHIP FORM

The Green Party of Oklahoma is working to promote ecological and environmental wisdom, social and economic justice, non-violence, and grassroots democracy throughout Oklahoma. While we do not have official party status in the state, we do have several active local organizations in central and northeastern Oklahoma, and we encourage the formation of local chapters in other parts of the state, in order that we might move toward official party status.

[NOTE: Joining the Oklahoma Green Party does not affect your party registration status]

Name ____________________________________________________________________________________

Address & Zip ____________________________________________________________________________

Area Code & Phone ________________________________________________________________________

County __________________________________________________________________________________

E-mail Address ___________________________________________________________________________

Please choose (a) a local chapter with which to be locally affiliated.

1 Green Country Greens (Tulsa Area)

1 Cleveland County Green Party

1 Oklahoma County Green Party

1 I am interested in learning more about how to begin a local chapter in my area of the state.

Please choose (a) a suggested annual contribution.

1 Sustaining Member ($50-$100)

1 Regular ($25.00)

1 Student / Low Income ($10.00)

1 Other ($________ )

1 I cannot contribute at this time, but would like to be considered an active member.

Those who are joining the Green Country Greens of Oklahoma, please make your check payable to the Green Country Greens of Oklahoma and send it with this form to P.O. Box 580664, Tulsa, OK, 74158.

Those who are joining the Cleveland County Green Party and those who would like to learn more about starting a local chapter in their area, please make your check payable to Cleveland County Green Party and send it with this form to P.O. Box 2594, Norman, OK, 73070-2594.

Those who are joining the Oklahoma County Green Party, please make your check payable to Oklahoma County Green Party and send it with this form to Oklahoma County Green Party, P.O. Box 60523, Oklahoma City, OK 73146-0523.

Returning this form will add you to the Green Leaf recipient list. Green Leaf is the monthly newsletter for all Oklahoma Green activity.

1 Please E-mail me my Green Leaf newsletter.

1 Please mail me my Green Leaf newsletter.

1 Please do not send me the Green Leaf newsletter.

Green Leaf can be viewed at www.greens.org/oklahoma/home. You may also join the Oklahoma Green Party listserv by posting a request to okgreens-subscribe@yahoogroup.com.

Thank you for supporting the Oklahoma Greens!