OAASC Associate Member Application


Section 1. APPLICANT INFORMATION:
Company
Address 1
Address 2
City	State Zip
Phone
Fax
Web

Primary Contact
First Name
Middle
Last Name
Suffix
Title
Email

Type of Service Your Company Provides:


Description of Your Company (200 word max)


Section 2. MEMBERSHIP FEE:


Basic and Plus membership levels can pre-purchase their exhibit table table for the 2026 conference now! (Exhibit table is included with Gold and Platinum Packages). Tables are available for $950, the same as our 2025 rate! The 2026 conference will take place at The Ohioan in Columbus, November 10-12. Don't miss this opportunity - purchase your table now!

	Yes! Add a table to my Basic or Plus level membership

- denotes required fields