and print this application form

Ohio Coalition for Open Government
Application for Membership
1335 Dublin Road, Suite 216-B, Columbus, Ohio 43215
Tel. (614) 486-6677 • Fax (614) 486-4940
Any non-Ohio Newspapers Foundation member may submit an application for OCOG membership to the
OCOG trustees for approval. Membership includes use of the OCOG hotline through the OCOG retainer
to Baker & Hostetler and two issues of the OCOG newsletter. The cost of OCOG dues varies with the
membership category the applicant falls under. The categories and dues prices are as follows:
Attorneys and Corporate Members ................. $70
Non-Profit Organizations ................................ $50
Individual Membership .................................... $35
College & University Students ......................... $25
High School Students ...................................... $10
APPLICATION FORM
NAME:
COMPANY/ORGANIZATION:
ADDRESS:
CITY/STATE/ZIP:
PHONE and EMAIL:
I am applying for membership under the following category (Check one):
Attorney/Corporate Member
Non-Profit Organization
Individual Membership
College & University Student
High School Student
SIGNATURE:
DATE
Complete this form and mail with dues payment to:
Ohio Coalition for Open Government
1335 Dublin Road, Suite 216-B, Columbus, Ohio 43215