State FFA Alumni Association Membership Application

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Ohio FFA Alumni Association
Membership Application
We’re excited you want to join the Ohio FFA Alumni Association! By becoming an alumni
member, you are showing your support for our students.
As of January 2015, the Ohio FFA Alumni Association operates under the National FFA
Alumni’s Affiliate program. With this program, there is not a per-person membership fee for
annual members that are a part of a local affiliate. Annual members of local affiliates only need
to pay local dues and submit their membership information to the local alumni leaders. If you are
not a member of a local affiliate, we welcome you to become an At-Large Annual Member. If
you have questions about this new membership program, please contact us.
Membership Options:
 I would like to be an At-Large Annual Member. ($5.00)
 I would like to be a Life Member. ($160.00)
o After April 1st Lifetime Membership will increase to $200.
 I would like to be a Corporate Member. ($300.00)
Payment Options:
 My check is enclosed in the amount of $____.00.
 I will mail my check in the amount of $____.00 to the Ohio FFA Alumni.
Name:______________________________________
Phone: _______________
Company Name: __________________________________________
Address:________________________________________________________________
City: ______________________________ State:____________ Zip: _______________
E-mail:_____________________________________
Please direct questions to:
Jessica Shanahan Executive Secretary and Program Manager
jshanahan@ohioffa.org
(937) 408-3733
Please mail or e-mail this membership form to:
Ohio FFA Alumni Association
717 A E. 17th Ave.
Columbus, OH 43211
jshanahan@ohioffa.org
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