MEMBERSHIP FORM

Oak Lane Community Action Association The membership term runs from January 1st until December 31st each year.

First name

Last name

Email

Phone

Address

Membership Type

New Membership

Renew Membership

East Oak Lane Residents and Business/Organizations are considered full members of OLCAA. Full members of OLCAA may vote in the annual board of directors election. Non-East Oak Lane Residents and Business/Organizations are considered Associate Members and do not vote in OLCAA's annual election.

Membership Type

All OLCAA memberships include a complementary subscription to OLCAA's newsletter

If "Household" was selected, please list the name of the additional OLCAA member included with this application

If "Business/Organization" was selected, please provide the name of the Business/Organization

Yes, please subscribe me to the OLCAA newsletter

I would like a mailed copy of the OLCAA newsletter1

My household has more than one OLCAA member (Help us reduce mailings and save paper!). Do not check this box if you are not requesting mailed newsletters.

I/We wish to make an additional contribution of:

10

50

100

For all mailed donations, please remit to:

Oak Lane Community Action Association

P.O. Box 2926

Philadelphia, PA 19141

Please send me security alerts (security alerts are sent through the 35th Police District Watch)

How did you learn about OLCAA?

OLCAA is classified as a public charity under Section 501(c)(3). Donations are tax-deductible under Section 2055, 2106, or 2522 of the Internal Revenue Code.