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                            Oklahoma Agricultural Aviation Association

                            2500 E. 15th Street

                            Edmond, OK  73013

                            Phone:  405-341-3548 begin_of_the_skype_highlighting            405-341-3548      end_of_the_skype_highlighting  
                            Email: 
                            oaaa@sbcglobal.net

                            www.okaaa.org/

                             
                            2012 DUES & CONVENTION REGISTRATION

                            Convention will be held at the Biltmore Hotel, I-40 & Meridian, Oklahoma City, OK  January 16, 17 and 18, 2012

                             Name_________________________________________________________Spouse/Guest____________ 

                             Company Name________________________________________________________________________

                             Address____________________________________City______________________State_____Zip_____

                             Bus.#____________________Fax#____________________Cell#________________Home#__________

                             Email__________________________________________________Company Website_______________

                             OAAA MEMBERSHIP DUES

                                                                                                            POSTMARKED            POSTMARKED

                                                                                                            BEFORE JAN 1             AFTER JAN 1

                            Operator Membership…………………………………$185……………………$235…..……$__________

                            Pilot Membership………………………………………$  85  …………………..$135………..$__________

                            Associate Membership…………………………………$  85  …………………..$135………..$__________

                            Ag Aerial Services  - write a separate check for $125 made payable            $125...    …...$__________

                            to Ag Aerial Services and mail with membership & registration fees

                            (Ag Aerial Services must be paid to be a member).

                            CONVENTION REGISTRATION

                            $110 per person is for providing PAASS* Program

                            *You must be a member to register for the convention (excluding ground rigs*)

                                                                                                            POSTMARKED            POSTMARKED

                                                                                                            BEFORE JAN 1             AFTER JAN 1

                            *Operator/Pilot/Associate Member……………………$195……………………$245..….......$________

                               (you must be a member to register for the convention except for ground rigs)

                             

                            *Custom Pesticide Applicator Fee …….. . . . . . . . . . . . $230…………………….$280……….$________

                              (not Aerial Applicator – Only ground Operators, Co-ops, dealers, etc)

                             

                            *Spouse/Guest Registration Fee ……………. . . . . . . .  $ 55……………………..$  80……….$________

                              (family members or friends only – NOT Employees)

                             

                            Extras

                            Extension Handbook or CD………………………………………………………..$30 each….$________

                            OAAA Membership Plaque………………………………………………………..$50 each….$________

                             

                            AUCTION / DOOR PRIZE / SPONSORSHIP DONATIONS

                            Auction / Door Prize Donation:  Please List – Thank You!  __________________________________________

                             

                            Sponsorship – Your Sponsorship is Greatly Appreciated and Your Company Name will be included on all Sponsorship Posters - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Amount $________

                             

                            Payment Plan

                             

                            Membership Dues and Convention Registration made payable to OAAA:  Amount Enclosed _________        

                                                                                                                                                          Check No. ___________

                            Separate check to Ag Aerial Services - $125:  Check No. ____________

                            Mail to OAAA, 2500 E. 15th, Edmond, OK 73013.  Questions call…..405-341-3548.