Osher Lifelong Learning Institute (OLLI) at OSU Gift Membership Request Form

Purchaser Info
Purchaser (Your) Name Purchaser (Your) Name First Last
Purchaser (Your) Email
Purchaser (Your) Phone Purchaser (Your) Phone - ### - ### ####
Purchaser (Your) 2nd Phone (optional) Purchaser (Your) 2nd Phone (optional) - ### - ### ####
Purchaser (Your) Address Purchaser (Your) Address
Street Address City State / Province / Region Postal / Zip Code
Recipient Info
Name of the gift card recipient Name of the gift card recipient First Last
Recipient phone number (optional as we'll work with the purchaser to determine how you'd like to get the recipient their gift) Recipient phone number (optional as we'll work with the purchaser to determine how you'd like to get the recipient their gift) - ### - ### ####
Recipient email address (optional as we will work with the purchaser to determine how you'd like to get the recipient their gift)
I affirm that the recipient is age 18 or older (just a required box to check).

I affirm that the recipient is age 18 or older (just a required box to check).
Which membership type do you wish to provide? [Drop down menu: select one]

Which membership type do you wish to provide? [Drop down menu: select one] A La Carte Membership - At only $40/year (with classes every fall, spring and summer) this membership offers the opportunity to pay by the course with registration fees of about $25. Perfect for those who want to try out a few classes. Premium Membership - $200/year (with classes every fall, spring and summer) includes unlimited classes for the year with no registration fee. This is an unbeatable deal!
How would you like the recipient to receive their gift? OLLI is not able to send gift membership certificates by mail at this time. Choose from these options:

How would you like the recipient to receive their gift? OLLI is not able to send gift membership certificates by mail at this time. Choose from these options: I will provide the printed certificate I receive via email to the recipient in person; OLLI does not need to contact the recipient. I will provide the digital gift membership certificate via email to the recipient by forwarding them the email I will receive; OLLI does not need to contact the recipient. I would like OLLI to email the recipient the digital gift membership certificate and CC me as the purchaser as soon as possible. [Please note we cannot email them on or near a particular holiday, as our small but mighty staff may not be available to do so, especially over the university's winter break.]
One of our team members will call you within three business days to process your order and complete payment. The caller will identify themselves by name and that they work for OLLI. Our two student staff members will make the majority of these calls, Jaclyn and Hadlie, though you may also hear from Patricia Acurio or Robin Fuxa.

If any questions or concerns arise, please call 405-744-5786 for immediate assistance. You may also email olli@okstate.edu with any questions or concerns, though email may be affected by holiday schedules once break begins.

Thank you for giving the gift of lifelong learning. The joy of learning is essential for each of us at every stage of life!

Osher Lifelong Learning Institute (OLLI) at OSU Gift Membership Request Form

Purchaser Info

Recipient Info