OCRE APPLICATION FORM

Yes, we would like to join Organizations Concerned about Rural Education!

_______________________________________________(Organization)

_______________________________________________(Contact person)

_______________________________________________(Street)

________________________________________________(City)

________________________________________________(State)

________________________________________________(Zip Code)

Membership status:

______ Non-profit organization--annual membership fee is $500

______For-profit organization--annual membership fee is $950

Please print and complete this form and return to:

Organizations Concerned About Rural Education
2725 Connecticut Ave. NW, #302
Washington, DC 20008