NW-OIAAA
2003-2004 MEMBERSHIP FORM




School ___________________________________________

Address __________________________________________

Athletic Director ____________________________________

E-Mail Address ____________________________________

Amount Due for the 2003-2004 School Membership Dues to NW-OIAAA

$35.00
(one per person)


Make check payable to NW-OIAAA and send to:

Mary Ruth Crandall
166 North State Rt 587
Fostoria  OH  44830


Memberships are effective September through August.


Please complete the following:

	Years served as Athletic Administrator including the 2003-2004 school year ____

	Did you belong to the OIAAA last year?   _______________