Associate Member Application

Associate Members

include cable television equipment manufacturers and suppliers, consultants, management services, brokers, or any organization with a bona fide interest in cable television.
2014 Associate Member Dues = $300.00 for the first three individuals from your company. Each additional membership is only $25.00 per person. Please contact April Barrowman at (614) 461-4014 or abarrowman@octa.org if you have questions.
Contributions or dues paid to the Ohio Cable Telecommunications Association are not tax deductible as charitable contributions for income tax purposes. However, they may be deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of association lobbying activities.
The Ohio Cable Telecommunications Association estimates that the non-deductible portion of your annual dues - the portion which is allocable to lobbying is 27%.
Federal Tax ID #23-7255930

Membership Information

Company Name
Address
City State Zip Code
Telephone Fax
Website
NOTE: If all representatives are at the above location, you may leave the address boxes below blank.

Primary Contact

Name
Title
E-mail Address
Telephone
Address
City State Zip Code

Second Representative

Name
Title
E-mail Address
Telephone
Address
City State Zip Code

Third Representative

Name
Title
E-mail Address
Telephone
Address
City State Zip Code

IF YOU NEED TO ADD ADDITIONAL MEMBERS, PLEASE DO SO HERE:

Other

Company Information

Please give a brief description of the services/products your company offers (50 words or less):
How did you hear about the OCTA? (Select all that apply)
OCTA Website Different Website
OCTA Member OCTA Mailing
Trade Magazine Recommended by colleague/friend
Other
Person to contact regarding this application:
Name
Phone

DUES FEES:

Associate Membership for 3 Company Representatives
$25 For Each Additional Member
I/we hereby apply for membership in the Ohio Cable Telecommunications Association and agree to comply with the Bylaws, Code of Regulations and such other rules as may be adopted.
   - denotes required fields