o4a Associate Membership Form (2012)

Organization Name *

Name * First Last

Email *

Email (Gold members get an additional 3emails - Silver members an additional 2 emails)

Website *

Brief description of your organization /
company: *

Maximum Allowed: 500 characters. Currently Used: 0 characters.

Are you renewing your membership? *

Yes No I'm not sure

Check no if you are a NEW member or I'm not sure if you don't know.

Membership Options *

Bronze - $350 Silver - $700 Gold - $1500

Detailed information on each level is listed below - once you hit "submit" you will automatically receive an email confirmation for your membership. Please submit payment, checks only, payable to: o4a, 88 E. Broad St. Ste. 870, Columbus, Oh 43215 - with a copy of your email confirmation.

Once your membership and payment are processed you will receive your welcome kit by email. Questions? Email Jennifer at tewell@ohioaging.org.

Membership Levels

You choose the level that works for your organization!

Bronze ($350 Membership Dues)

Electronic Membership Directory of AAA Leadership
Timely Legislative Bulletins
o4a E-newsletter
Listing on o4a site (not hot link) and in Annual Conference Program
Advocacy Advisories
Goodwill through the support of o4a and the Aging network

Silver ($700 Membership Dues)

All Bronze benefits listed above PLUS…
(1) $50 discount off of any Exclusive or Basic Annual Conference Sponsorship
Access to over 475 Aging network Professionals through Association events
Electronic Membership Directory of Legislators
Talking points and position papers for the aging network
o4a legislative agenda
Live website link on the o4a website to your organization’s site

Gold ($1,500 Membership Dues)

All Bronze and Silver Benefits PLUS…
Roundtable discussion on policy with AAA Directors (Spring 2012)
Bylined article (1) per year featured on the website in the “Associates Speak” section*
VIP Partner Email Blast to all members once per year (July), includes company , brief description, hotlink and contact
Invitations to networking and professional development opportunities
Bill tracking on Aging and Home & Community-based issues
DAILY news round-ups from the popular Gongwer News Service
Complete AAA Electronic Membership Directory listing Ohio and U.S. legislators with leadership & contact information - includes photos!
Live website link

Wufoo

Membership Levels