Membership Application
 
To complete your application, print this page, enter all requested information, and mail the completed form to the address provided below.

Name:
Court:
Title:
Address:
 
Telephone:
FAX:
E-Mail address:

I wish to apply for membership as:   (please check one)
 Active$50.00  Associate$50.00
 Retired$0.00  Honorary$0.00
 Organizational  (3-5 members)$150.00
 Organizational  (6-10 members)$250.00

Note:  For Organizational membership, please provide a contact person's name and a list of names and titles for the additional members.  See membership classifications.

 
Membership renewal is requested annually.  Dues are for the calendar year in which they are paid.
 

    OACA Federal Tax ID:  34-1446544

Please forward the completed membership application along with your annual dues payable to Ohio Association for Court Administration to:

  OACA - c/o Pam Mossbarger
  Fayette County Probate/Juvenile Court
  100 E. Court Street

  Washington Court House, OH 43160
 

 

 

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last updated: march 31, 2006