OPERATION IDENTITY
MEMBERSHIP
APPLICATION
FORM

 
 

Would you like to become a member of Operation Identity? Annual dues are only $25, and they go to support the activities of Operation Identity, including the newsletter, meetings, and fliers and notices to carry the message of support to all members of the adoption triad.

To become a new member, just fill out this convenient electronic application form. Once completed, click the button below to “Go to Step Two” (Select Payment Option). Payment can be made using either a direct withdrawal from your bank account or a debit to a credit card via PayPal® (It costs nothing to register with PayPal®; and a credit card payment requires no registration). If you prefer, you may also submit your payment by mailing a check or money order for $25, payable to Operation Identity, c/o James Myers, Treasurer, 8812 Yankee Drive N.E., Albuquerque, NM 87109.

(Items in RED are REQUIRED)

STEP ONE:  Complete the Membership Application Form
Persons applying from outside of North America are encoraged to utilize the hard-copy form.
First Name:    M.I.:    Last Name:

Company/Group:

Address Line 1:

Address Line 2:

City:   State/Province:   Zip®/Postal Code:

Home Tel.: () -  Business Tel.: () - Ext. 

E-Mail: @  Website: http://www..

I don’t want to join now, but do wish to contribute to support Operation Identity.
(Non-member contributors will receive the quarterly newsletter.)

TRIAD POSITION (Optional):

Adoptee     Birth Parent     Adoptive Parent
Adoption Professional     Adoption Support Group
Other

For those who prefer to send your application and payment by mail, click here to print a hard copy membership application form.