2004 ORMGA Membership Application

Name:________________________ Street Address:______________________

Phone:________________________ email:______________________________

Please make check payable to ORMGA. Send payment to:

John Olio

126 Windsor Circle

Ocean Isle Beach, NC 28469

(910) 579-2456

2004 ORLGA Membership Application

Name:________________________ Street Address:______________________

Phone:________________________ email:______________________________

Please make check payable to ORLGA. Send payment to:

Grace Loyack

493 Thornhill Court

Ocean Isle Beach, NC 28469

(910) 579-0830