OMPA MEMBERSHIP FORM Step 1 of 4 25% MEMBERSHIP LEVELSMembership Levels Member (Individual) Annual: $150/year Member (Individual) Monthly: $15/month Member (Student) Annual: $50/year Member (Student) Monthly: $5/month Member (2-6 Employees) Annual: $350/year Member (2-6 Employees) Monthly: $35/month Member (7-24 Employees) Annual: $500/year Member (7-24 Employees) Monthly: $50/month Member (25+ Employees) Annual: $1,000/year Member (25+ Employees) Monthly: $100/month Renew Renew automatically? (required for monthly) YOUR INFORMATIONCompany/Organization:Name(Required) First Name Last Name Renew Submit as a company Pronouns He/Him/His She/Her/Hers They/Them/Theirs Other If you selected other, please let us know what pronouns you would prefer:What inspired you to join?(Required)An Instagram postA Facebook postA Twitter postA LinkedIn postAn emailA friend or a colleagueAn eventPhone(Required)Email(Required) If you want to stay up to date on the latest industry news, please sign up below:(Required)Yes, please send industry info to my inbox!No, do not send industry info to my inbox.Home Zip/Postal Code:(Required)We use this information to send you advocacy news and actions related to your specific district and local legislators. Add-OnOur Accessible Scholarship program is supported by community donations! $5 covers 1 month for students $15 covers 1 month for professionals $50 covers 1 year for students $150 covers 1 year for professionalsDonate Would you like to donate an Accessible Scholarship? (leave unchecked to skip):Product Name $5.00 $15.00 $50.00 $150.00 Other Other Amount Total Section BreakCAPTCHA
