If you apply for Active Membership a more detailed application will be mailed to you to assist you with the dues calculation.
 
 
If you have any questions please contact us now:
 
 
BASA
8050 N High St. - Suite 150
Columbus, Ohio 43235
 
614.846.4080
 
 

 
 

Membership Registration

Membership Type *

  

First Name *

Last Name *

Title/Position *

    

Email Address 

(e.g. john@yahoo.com)

Telephone Number 

(e.g. 893-552-9392) 
 

Fax Number 

(e.g. 893-552-9392) 
 

School District\Company *

Address *

Address Line 1
Address Line 2
City
State
Zip Code

Method Of Payment 

  

Purchase Order Number 

Billing Address if different than Above 

Address Line 1
Address Line 2
City
State
Zip Code