Membership Application – Ohio Association for Adult and Continuing Education

Membership Type

Organizational

Add Additional Staff to Existing Organization Membership

Individual or Professional

Organizational Membership

Price:

Organizational membership includes 5 individual staff memberships. If you need more than the 5 included staff memberships, you may order additional memberships for $30.00 each.

Purchase Additional Staff Registrations

If you need more than the 5 free staff memberships you may order additional for $30.00 each.

Organizational Membership – Purchase Additional Staff Registrations

Preexisting Organizational Membership (no fee)

Purchase Additional Staff Registrations(Required)

Please enter a number from 1 to 20.

Active OAACE member organizations needing to purchase additional staff registrations can add additional registrations for $30.00.

Organization Information

Organization Name(Required)

Organization Email(Required)

Organization Contact Name

First Last

Organization Address

Street Address Address Line 2 City State ZIP Code

Member Details

Individual or Professional

Price:

Individual Details (Organizational Membership)

First Name

Last Name

Add details for each member being registered.

Individual Details (Organizational Membership – Purchase Additional Staff Registrations)

First Name

Last Name

Add details for each member being registered.

Individual or Professional Membership Details

First Name

Last Name

Add details for the member being registered.

Billing Information

Billing Name(Required)

First Last

Billing Email(Required)

Enter Email Confirm Email

Billing Phone

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Total

Payment Options(Required)

Credit Card

Purchase Order

Check Paid to OAACE

Credit Card(Required)

Card Details

Cardholder Name

P.O. Number (If Known)