South Central Oracle Users Group

Please check the user group(s) that you would like to join/renew

_X_ SCOUG Membership                 
                                     
Local User Groups:                   Check SCOUG and one Local Group for Corporate Membership.
___ Amarillo (Tri-State)                     
___ Austin                           
___ Baton Rouge
___ Dallas                           *** ALL MEMBERSHIPS ARE FOR THE CALENDAR YEAR ***
___ Fort Worth                       
___ Houston                         
___ New Orleans                     
___ Oklahoma                        
___ San Antonio                     
 

Corporate Contact Person (for questions and to whom future invoices should be sent.)

   Company ___________________________________________________________________

   Name ______________________________________________________________________

   Job Title _________________________________________________________________

   Address ___________________________________________________________________

   ___________________________________________________________________________

   Phone _______________ Fax _______________ Email ___________________________

   ___________________________________________________________________________
   Signature                                                              Date

Please check one:

    [__] Corporate Membership for up to 5 members  $200  ( 5 * $40 )

    [__] Corporate Membership for up to 10 members $400  ( 10 * $40 )

Corporate Memberships allow the memberships to be transferred to another person within the company.
Individual memberships are not transferrable.  In all other aspects, the membership privileges are identical.

Please identify the Names and Addresses for Magazine Mailing List and emails below.

                                            PLEASE PRINT!!

#1 )   Name ______________________________________________________________________

       Job Title _________________________________________________________________

       Address ___________________________________________________________________

       Phone _______________ Fax _______________ Email ___________________________

#2 )   Name ______________________________________________________________________

       Job Title _________________________________________________________________

       Address ___________________________________________________________________

       Phone _______________ Fax _______________ Email ___________________________

#3 )   Name ______________________________________________________________________

       Job Title _________________________________________________________________

       Address ___________________________________________________________________

       Phone _______________ Fax _______________ Email ___________________________

#4 )   Name ______________________________________________________________________

       Job Title _________________________________________________________________

       Address ___________________________________________________________________

       Phone _______________ Fax _______________ Email ___________________________

#5 )   Name ______________________________________________________________________

       Job Title _________________________________________________________________

       Address ___________________________________________________________________

       Phone _______________ Fax _______________ Email ___________________________

#6 )   Name ______________________________________________________________________

       Job Title _________________________________________________________________

       Address ___________________________________________________________________

       Phone _______________ Fax _______________ Email ___________________________

#7 )   Name ______________________________________________________________________

       Job Title _________________________________________________________________

       Address ___________________________________________________________________

       Phone _______________ Fax _______________ Email ___________________________

#8 )   Name ______________________________________________________________________

       Job Title _________________________________________________________________

       Address ___________________________________________________________________

       Phone _______________ Fax _______________ Email ___________________________

#9 )   Name ______________________________________________________________________

       Job Title _________________________________________________________________

       Address ___________________________________________________________________

       Phone _______________ Fax _______________ Email ___________________________

#10)   Name ______________________________________________________________________

       Job Title _________________________________________________________________

       Address ___________________________________________________________________

       Phone _______________ Fax _______________ Email ___________________________