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For those wanting to Join COPA or just renew your membership, you may either pay on-line using PayPal or you may use the
Printer Friendly Version of the application and mail it in.

Printer Friendly Version - Click Here


Application for Membership/Renewal

Renewal ($12 per person,$10 Seniors (65 & over), Keets 17 & under free, New Members pro-rated $1.00 per month)
An additional $1 will be charged for on-line payments using the COPA PayPal option.

Name& Island Name

2nd Name& Island Name

Address

CityStateZip

Phone # E-mail

Birthday (Month & Day)/ 2nd Birthday (Month & Day)/

Keets (17 years & younger) Optional:

Name
Birthday (Month & Day)/   NameBirthday (Month & Day)/ 

NameBirthday (Month & Day)/   NameBirthday (Month & Day)/

Favorite Buffett Song(s)

I AM INTERESTED IN WORKING WITH THE CLUB IN THE FOLLOWING AREAS (Check All That Apply)

FUNDRAISING     HOST/HOSTESS AN EVENT     MEMBERSHIP     SOCIALS     SPECIAL EVENTS

REGISTRATION/GREETERS         OTHER

How did you discover COPA (if new member)?

______________________________________________________________________________________________________________________________________________

May we print your address and phone number in the club roster?    YES or NO

The Obligatory "Fine Print"

Every member of COPA is responsible for his/her actions and behavior whether negative or positive. Membership in this club DOES NOT give the member permission to use Jimmy Buffett’s name, song titles, lyrics, name of businesses or other trademarked, copyrighted or reserved material owned by Jimmy Buffett; nor can any member use the logo of COPA or PHIP. 

You are encouraged to read the COPA chapter by-laws by clicking  HERE  

WE ASK THAT MEMBERS NOT DRIVE WHEN DRINKING.

WE STRONGLY RECOMMEND EMPLOYING THE DESIGNATED DRIVER ROUTINE OR USING A TAXI SERVICE OR CALLING ANOTHER MEMBER, FAMILY OR FRIEND FOR A RIDE WHEN DRINKING.

Member’s initials:    

Membership dues are not deductible as a charitable contribution for federal income tax purposes.

DATEAMOUNT PAID

The Central Oklahoma Parrothead Association is a proud member of PHiP, Inc., a national organization recognized by Jimmy Buffett

 

PayPal Option

You do not have to have a PayPal account  to use this option.
Use one of the credit cards listed under the Pay Now button to make payment.

(Click the Pay Now button under the appropriate membership option)

Membership Type

Single: ($12) - Add $1 for paying via PayPal

Couple: ($24) - Add $1 for paying via PayPal

Single Senior (65 & over): ($10) - Add $1 for paying via PayPal

Couple Senior (65 & over): ($20) - Add $1 for paying via PayPal



 

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