New Member Application

Please fill out the form below.

After you click the SUBMIT button, you will be directed to the next page to pay your dues and have the opportunity to purchase additional yearbook listings and advertising.

(If you are renewing your membership, use this form to update any information that has changed, or you may go directly to the payment page: CLICK HERE.)

First and Last Name **

Email **

Address **

City **

State **

Zip **

Phone **

Company

Free Listing Category **

Membership Type **

Sponsored By

Member's Date of Birth **

Beneficiary Name **

Would you like to add a spouse membership for $50.00?
Does not include a copy of the yearbook, newsletter or participation in the memorial fund.
Spouses can also apply for a Regular membership.
YesNo

Spouse First and Last Name **

Spouse Email **

Spouse Phone **

Spouse Free Listing Category **

Membership applications are processed when we have received your completed form AND payment. New members will be placed on the next regular board meeting agenda for a vote. Memberships are due by January 15 in order to be included in the yearbook and buyer’s guide in the spring.

Questions? Contact the GOSA office: GreaterOhioSA@gmail.com or 740-739-9073.