ORBA Membership Application - Ohio Rural Broadband Association

Associate Annual Membership Fee: $500

Associate Member: Any person, partnership, corporation or other legal entity, which manufactures or distributes any communications equipment or supplies to, or performs services for Active members of the Association is eligible for Associate membership, subject to the approval of the Board of Directors. Associate membership entitles the holder to certain privileges and facilities of the Association as may be prescribed from time to time by the Board of Directors, but does not entitle the holder to vote or hold office in this Association.

Name(Required)

First Last

Email(Required)

Phone(Required)

Company Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Tell us about your business:(Required)

Please complete above application & send with payment to ORBA Treasurer, Cheryl Bostelman at: Farmers Mutual Telephone, 20119 County Road X OH 43545. Please make checks payable to ORBA. If paying by credit card a 4% processing fee will be added to the amount due.