

OFFICERS ASSOCIATION OF MICHIGAN
1407 S. Harrison Suite 343 East Lansing, Michigan 48823
MEMBERSHIP APPLICATION
2009 membership fee of $25.00 is due June 15, 2009
Make check payable to DOAM
Name: ______________________________________________
Title: _______________________________________________
Organization/Agency: _________________________________
Address: ____________________________________________
City: ____________________ State: ________ Zip: _________
Telephone: __________________ 2nd Phone: _______________
Fax: ___________________ Email: _______________________
DOAM membership benefits:
- Statewide training and Conference updates
- State and Localized news and information
- DOAM Board updates
- DARE America training information and curriculum updates
- Program and Material support
- Access to the DARE Officers of Michigan Directory