Membership
Please print out this form, complete it and mail it to the address at the bottom
 

 

 

MEMBERSHIPS ARE ON A CALENDAR YEAR BASIS

New Membership [  ] Renewal [  ] Change of Address [  ]

Name ____________________________________________________________________

Congregation or Faith Group (Optional) _________________________________________

Mailing Address ___________________________________________________________

City _____________________________State_______________Zip__________________

Phone Number ___________________ E-Mail __________________________________

TIA is a 501(c)(3) tax exempt organization and membership contributions are income tax deductible. Checks should be made to Tulsa Interfaith Alliance, Inc.

Type of membership:

[ ] Concerned $25-$99 [ ] Benefactor $1,000-$2,499
[ ] Supporter $100-$499 [ ] Sustaining $2,500-$4,999
[ ] Sponsor $500-$999 [ ] Patron $5,000+
[ ] Student $15

TIA is an organization of individuals. It is not actively or passively connected to any specific political, religious, or denominational group. It refuses to accept financial support from any political action groups, nor will it act as a Political Action Committee to promote the exclusive political agenda of any group.

Print out this page, provide the requested information and mail this form to:

Tulsa Interfaith Alliance, Inc.

PO Box 35654
Tulsa, OK  74153-0654

918-270-1139

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