H


Appropriate box must be checked NEW


RENEWAL


# $


/ / FOR OABA USE OUTDOOR AMUSEMENT BUSINESS ASSOCIATION, INC.


1305 Memorial Avenue, West Springfield, MA 01089  407.848.4958  oaba@oaba.org Date: __________________________


Applicant: Address:


Zip Code:


Applicant’s Email:


Phone:  Website:


THE OABA SPONSORED $10,000 ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE IS AUTOMATICALLY AVAILABLE TO ALL ACTIVE DUES PAYING MEMBERS. THIS AD&D COVERAGE IS EFFECTIVE WHEN YOUR DUES ARE RECEIVED AND WILL TERMINATE AFTER 1 YEAR UNTIL MEMBERSHIP IS RENEWED. Beneficiary________________________________________________Relationship________________________________________________


OABA BY-LAWS: Article VIII - Annual membership fees are due one year after application and are delinquent 90 days thereafter. All dues paid will be reflective as of the due date regardless of when paid. After 90 days, a new application for membership will be required.


ANNUAL MEMBERSHIP DUES (check box)  CARNIVAL (rides owned and booked)  40 rides or more …………………………………………… $2,500


 MANUFACTURER / SUPPLIER ………………………………. $ 250  CONCESSION OWNER ………………………………………… $ 200


(Applicant’s Signature)


 21-39 rides …………………………………………….……. $1,500 With my signature, I agree to support the programs and activities  1-20 rides (Independent Ride Owner) …………………. $ 750


of the OABA and to abide by its Code of Ethics. RECOMMENDED FOR MEMBERSHIP BY:


 CARNIVAL EXECUTIVE ……………………………………….. $ 150  ASSOCIATE MEMBER (industry related business) * …… $ 150 * indicate business: __________________________________


 FAIRS / FESTIVALS ……………………………………………. $ 100  FAIRS / FESTIVALS……… $ 0  CARNIVAL EMPLOYEE ** ……………………………………… $ 50


 VOLT PARTICIPANT ** ………………………………………… $ 50 **Print copy of ShowTime not included in $50 dues


 CIRCUS PRODUCER …………………………………………… $ 500  CIRCUS ASSOCIATE / CARNIVAL SUPPORTER ..……... $ 75


To be signed by an OABA member when proposing someone for membership. It is not necessary, however, for an applicant to be recommended by an OABA member.


NOTE: Dues are tax deductible as an ordinary and necessary business


expense – not as charitable contributions. 93% of your dues are lobbying expenses and, as such, are not deductible for federal income tax purposes.


PAY BY CREDIT CARD (check one):  VISA  MASTERCARD  AMEX Card #


Exp. Date Signature Print Name on Card ------------------------------------------------------------------------------------------------------------------------------------------------------------- Welcome to the OABA!


 


Our Mission:


TO PROMOTE THE PRESERVATION AND GROWTH OF THE OUTDOOR AMUSEMENT INDUSTRY THROUGH LEADERSHIP, ADVOCACY AND EDUCATION


|    CVV Company: City:


Date of Birth (mm/dd/yyyy)


 State:


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