Membership Application Membership Application Let’s determine the membership option that best fits you or your organization. Please answer the following questions as accurately as possible. OEDA will review and confirm the final membership classification before membership is approved. START APPLICATIONpress Enter Are you applying for membership on behalf of an organization/business, or as an individual Student/Retiree? * Organization / Business Membership Student / Retiree Membership Select Student / Retiree only if you are joining OEDA solely in an individual capacity and are not representing a business, employer, agency, department, consultancy, or other organization. What type of organization are you applying on behalf of? * Government / Public Agency Economic or Community Development Organization / Association / Nonprofit Tribal Government / Tribal Organization College / University / Trade School Private Business Utility Company / Utility District Other / Not SureOther / Not Sure Which best describes you? * Current Student Retired Professional What is the approximate population served by your organization? * 20,000 or fewer 20,001–50,000 More than 50,000 What is the approximate student population served by your institution? * Fewer than 10,000 students 10,000–30,000 students More than 30,000 students Approximately how many employees does your organization have? * 10 or fewer employees 11–49 employees 50 or more employees What type of utility organization are you applying on behalf of? * Local / Community / Cooperative Utility Large Regional / Major Utility Partner Approximately how many customer accounts or service connections does your utility serve? * 10,000 or fewer 10,001–25,000 More than 25,000 What is the name of the organization applying for OEDA membership? * What is your organization’s website? What is your organization’s primary mailing address? * What is your organization’s primary mailing address? Street Address Street Address Address Line 2 Address Line 2 City City State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State Zip Zip What is your organization’s primary mailing address? What is your name? * What is your name? First Name First Name Last Name Last Name What is your title or position? What is your email address? * What is your phone number? * Will you be the primary account holder for this OEDA organizational membership? * Yes No Primary Account Holder’s Name * Primary Account Holder's Name First Name First Name Last Name Last Name Primary Account Holder’s Title / Position Primary Account Holder’s Email * Primary Account Holder’s Phone Number * Are you also the billing contact for this organizational membership? * Yes No Billing Contact Name * Billing Contact Name First Name First Name Last Name Last Name Billing Contact’s Title / Position Billing Contact’s Email * Billing Contact’s Phone Number * Would you like to add Membership to OEDA’s Tax Increment Financing (TIF) Program? * Yes — Add TIF Program Membership No — OEDA Membership Only Which best describes your organization for TIF Program membership? * Consultant / Business / Non-Agency Partner Agency / Jurisdiction with Tax Increment Revenue What is your agency’s approximate annual tax increment revenue? * Less than $1,500,000 $1,500,000–$3,000,000 $3,000,001–$5,000,000 $5,000,001–$10,000,000 $10,000,001–$20,000,000 More than $20,000,000 Estimated Annual TIF Program Dues $ Estimated Annual OEDA Membership Dues $ Estimated Annual OEDA Membership Dues $ Total Estimated Annual Dues $ Primary Account Holder Primary Account Holder Billing Contact Billing Contact If you are human, leave this field blank. CONTINUESUBMIT MEMBERSHIP APPLICATION Use Shift+Tab to go back
