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OCMA  Application For Associate Membership
Annual Dues $40, Initiation Fee $25 Total Dues $65

Please enclose check for this amount.

Mike Stevens
Cox Ohio Publishing
5000 Commerce Center Dr.
Franklin, OH 45005
(937) 603-5211

Name________________________________________________

Company_____________________________________________

Business Address______________________________________

City__________________________State_______Zip_________

Phone (   )__________________Fax (    )___________________

Email Address ____________________________________________

Home Address__________________________________________

City__________________________State_______Zip__________

Phone (   )________________________________________

Spouse’s Name______________________________________

Date presented to Board of Directors_______________________

Date elected at a regular Association meeting________________

Date and amount received_______________________________

Privileges not extended to associate members:

  • Voting

  • Holding

  • Nominating candidates for office

  • Attending closed meetings

Mike Stevens
Cox Ohio Publishing
5000 Commerce Center Dr.
Franklin, OH 45005
(937) 603-5211


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