Annual Dues $20 NEW members
get the balance of the first year free! (The $20 is applied to the following year.)
Life Membership
$300 (Installment payments are available via U. S. mail or in person as follows: One-time payment of $150 now with
balance due in six months or four $75-payments with the last payment due six months after the first payment. Installment payments
on lifetime membership are unavailable online.)
Multiple Years
Number of years X $20 = ____.
ORTA MEMBERSHIP FORM
Print and
mail to:
ORTA
8050 North High Street Ste. 190
Columbus OH 43235-6488
| Last Name | First Name | MI |
| | |
| Mailing Address | |
| APT.
NO. |
| City | State | Zip | County |
|
| Date of Retirement | Social Security (For ID purposes only) |
| |
Payment options
via U.S. mail:
To pay my check or money order, print and
complete the ORTA Membership Form above and mail it to ORTA at the address at the top of the page. Please make the check payable
to ORTA. If mailing a credit card payment, please complete the form below:
Pay by Credit card: ___MasterCard
__Visa __Discover
Credit Card #__________________________
Exp Date_______
Name on card__________________________________________
