OJMA MEMBERSHIP APPLICATION
Membership from Present Date – December 31, 2008
This form may be printed out and mailed to the address below.
Is this a renewal of a current membership? ________ or a new Member?________
Name: _____________________________ Title:_____________________________________
Organization:___________________________________________________
County: __________________________________________________
Address:_____________________________________________________________________
City, State & Zip:__________________________________________
Telephone:_________________ Fax Number:__________________
E-mail Address:___________________________________________
MEMBERSHIP DUES:
[ ] Active Member: $50.00
An Active Member shall be a person and shall be entitled to one vote.
[ ] Organizational Member: $125.00
An Organizational Member shall be an organization, either a public or private entity, and shall have no vote. (Three people may be listed as members associated with an Organizational Membership. Each should include a completed membership form, including contact information.)
I would like to show my support for the work of OJMA in promoting and enhancing jury service through good jury management in Ohio. Enclosed is my tax-deductible donation to OJMA:
[ ] $10 [ ] $20 [ ] $30 [ ] $50*
*A $50 donation entitles you to become a non-voting, Associate Member of the Ohio Jury Management Association.
Make checks payable to "Ohio Jury Management Association." The membership fee and the signed application should be submitted to:
Ohio Jury Management Association
1700 Lake Shore Drive
Columbus, Ohio 43204
As a member of OJMA, I hereby agree to abide by the articles of incorporation, code of regulations, bylaws, and rules of this corporation.
___________________________________
Signature of Applicant and Date
If you have any questions, contact Vicky Unger, OJMA Director at 614-487-4475 or vunger@osbf.net .
* The Ohio Jury Management Association is a 501 (c) (3) organization. Contributions or gifts to the Ohio Jury Management Association are tax deductible as charitable contributions for income tax purposes to the fullest extent of the law.