Ohio County Dog Wardens Association (OCDWA) · www.ocdwa.org

Associate/Corporate Membership Application

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Membership type

Associate Membership - $30
All Deputy Wardens and support staff of an Ohio County Dog Warden Department, Ohio animal care/control officers, Ohio humane agents/cruelty investigators, Ohio sheriff’s deputies and Ohio police officers are eligible. Corporate Membership - $250
All companies and organizations whose products and services may be utilized by the Ohio County Dog Wardens Association or Association members' departments are eligible.

Applicant

Name

Title

Address

Phone

City

State

Zip

Fax

County

Email

Please process your annual agency dues by February 28th — Thanks for your participation!

Send Form & Payment To:

Julie Holmes-Taylor, OCDWA Treasurer
641 Dayton Xenia Road
Xenia, Ohio 45385

937-562-7405 Fax
jtaylor@co.greene.oh.us