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Registration form
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Leadership Ottawa County The Welcome Doors of Ottawa County
A project of the 2013 Class
Registration Form
Organization Name:__________________________________________________________________________________
Contact Person: _____________________________________________Title: __________________________________
Mailing Address______________________________________________________________________________________
_______________________________________________________________________________________
Email: _________________________________________________________________________________________________
Telephone: __________________________________________Fax:____________________________________________
Website: ______________________________________________________________________________________________
Location of Welcome Door - if different from mailing address:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Registration:
____ Yes, I would like my organization to participate in The Welcome Doors of Ottawa County
Cash or Check for $25 made payable to: Leadership Ottawa County is enclosed.
Please send registration and payment to: Leadership Ottawa County9471 W State Route 162Oak Harbor, Ohio 43449
If you have any questions, feel free to contact:
Chris Galvin 419-734-6645
