{{-- First Last Principal School Name Address Line City, State ZIP --}}
{ LINE 1 }
{ LINE 2 }
{ LINE 3 }
{ LINE 4 }
{ LINE 5 }
A SIGNED COPY of this invoice must be returned with your check in order to be processed.*
DUE BY AUGUST 15, { YEAR }*

Please check one of the following boxes:

Payment for dues is enclosed.

Number of Attending Students: { #RANGE }
Annual Associate Members Dues ({ RANGE }): { AMOUNT }
Total Amount Due: { AMOUNT }


Cancel our OSAA membership.
As a condition of this membership, this school shall be bound by the regulations, standards, rulings, and position papers of the Oregon School Activities Association and other decisions made by the Delegate Assembly and/or the Executive Board, and shall be bound to self-report any violations of the regulations to the Executive Director.



Signature (Superintendent or Principal)
Date


Please make check payable to "Oregon School Activities Association".
REMINDER: Return a signed copy of this invoice with your check.* Retain a copy for your records.
*NOTE: Dues must be received on or before August 15 in order for students at your school to be eligible to participate in OSAA sponsored athletics or activities at their resident public school. If this invoice is not returned by September 1 with a check, your membership will be canceled. A processing fee will be charged in order to re-establish canceled memberships after September 1.