OSA/OJSA Membership Form
This form can be used to purchase your Directory Ad
Name
*
First Name
Last Name
Spouse or Business Partner Name
First Name
Last Name
Farm Name
Junior Member Names
Include all name you will be paying memberships for (21 yrs old and younger)
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Instructions for designer for your directory ad.
Directory Ad Upload
Browse Files
Drag and drop files here
Choose a file
You can upload your completed ad or the pictures that you would like to have used in the design of your ad.
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OSA Membership
Annual Membership Dues
$
20.00
Quantity
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OJSA Membership
Junior Annual Membership Dues
$
12.00
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10
Directory Ad Main Page
One of 7 main pages in the Directory
$
300.00
Quantity
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Directory Ad Full Page
$
195.00
Quantity
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Directory Ad Half Page Ad
$
125.00
Quantity
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Directory Ad Quarter Page Ad
$
80.00
Quantity
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