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2006-2007 Membership Form
July 1st, 2006 - June 31st, 2007

Online Registration

General Information

Name:            ______________________________

Class Year:     ______________________________

Company:       ______________________________

Title:              ______________________________

Industry:         ______________________________

Business Contact (For Directory):

Address:        ______________________________

Phone #:        ______________________________

Fax #:            ______________________________

e-mail:           ______________________________

web site:        ______________________________

Home Contact (For Internal Use Only):

Address:        ______________________________

Phone #:        ______________________________

Fax #:            ______________________________

e-mail:            ______________________________

Annual Membership Level Dues *

_____  Alumni ........................... ...... $ 50.00

_____  Faculty / Administration ........... $ 50.00

_____  I am interested in a Mentoring Program

* Doesn't include cost of events; usually $25-35, more for special events.

_____  Check enclosed. Make payable to "Occidental College".

_____  Charge my VISA or MasterCard (circle one).

          Card # _______________________________

          Expiration Date _________________________

          Signature ______________________________

Networking Questions:  

  1. Nature of Business/Profession: Please describe the nature of your business or profession. (1 sentence)

 

 

  1. Ideal Referral: What types of business referrals can the OBA membership help you with?  Please describe the profile of the ideal referral. (1-5 sentences)

 

 

  1. Specialization/Advantages You Offer: Within your business or profession what areas of specialization or competitive advantages have you developed?  In other words, why should someone do business with you instead of your competitors? (1-5 sentences)

 

 

 

Please complete and send form and payment to: Occidental College Alumni Association, 1600 Campus Road, Los Angeles, CA 90041. Credit card payments may be faxed to the Alumni Office at 323.344.1261, or e-mailed to deb@oxy.edu.

For more information, contact Silva Zeneian ’01 at 213.347.6432 or Debra Plummer at 323.344.4171.


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This page was last updated on August 18, 2006