OEDA Membership Application

Please complete this form to join OEDA.  After the form has been completed and you click on the "send" button, this form will be transmitted to OEDA.  After receiving the information OEDA will prepare a dues invoice and mail it to you for payment.  This form can also be printed out, completed, and mailed to OEDA.

  • Please provide the following contact information for this store:
    First name
    Last name
    Title
    Company
    Street address
    Address (cont.)
    City
    State
    Zip
    County
    Phone
    Fax
    E-mail
    Web address
  • Membership Category and Investment Schedule
    Choose one of the following options:
    Distributor (1 Location) $285.00
    Multi-Location Equipment Dist. - Directory Listing Only $10.00
    Multi-Location Equipment Dealer - Directory & Mailings $55 .00
    Allied (Supplier) $285.00
  • Communications and Marketing Consent
    I represent that I am authorized to provide the foregoing consent and understand that by providing my mailing address, email address, telephone number(s) and fax number(s), I consent to receive communications sent by or on behalf of the Ohio Equipment Distributors Association (OEDA) via regular mail, email, telephone, and fax. I also understand that I may revoke this consent with respect to one or more of the entities listed above by notifying such entity in writing of such revocation at any time.

    I consent to receive Communications and Marketing items.

Lines Carried
  • Please provide the following owner/officer information for this store:
    Name of Owner/Officer Title