ExceptionalOPS
PO Box 2151
Peachtree City, GA 30269

Annual dues covering Fiscal Year July 1, 2016 through June 30, 2017

Description

Membership Dues

Fiscal Year July 1, 2014 through June 30, 2015 $10.00

I would like to make an additional donation
Toward support of the Summer Program ________

I would like to make an additional donation to
Support the High Hope Group Home ________

Total Enclosed _________

Please make your check payable to ExceptionalOPS and send it to the above address. Please return the info below with your check for proper allocation of your gift. ExOPS is a 501 (c)(3) non-profit organization EIN #58-0698809. All donations are tax deductible. Thank you for your continued support!

Member Name___________________________________________
Address________________________________________________
Phone__________________________________________________
E-Mail__________________________________________________

Reason for Joining: ______ I have a developmental disability
_____I have a child with a disability ______Educator ______Service Provider ______Friend ______ Advocate ______ Concerned Citizen