welcome doors of ottawa county registration

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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: _________________________________________________________________ ________________________________________

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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

[email protected]