COSA Membership Form for 2022
COSA membership is valid for our fiscal year July 1, 2021 through June 30, 2022.
If you have any questions, please contact COSA at Thank you!
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Email *
First name *
Last name *
Organization Name (or Your Name for Individual Membership) *
This is how you or your organization will be listed in the newsletter and on the COSA website.
COSA will link to this address in the newsletter and on the COSA website.
Membership Category: *
Membership support is based on your organization's TOTAL annual budget.
Does your organization need an invoice to process this payment? *
COSA will email an invoice at your request.
Please make checks payable to COSA. Federal ID# 04-3233858.
COSA's mailing address is: PO Box 1004, Northampton, MA 01061.
Mailing Address: *
Please include your PO Box/Street, City, State, Zip Code.
Do you give COSA permission to add your email to our mailing list? *
COSA regularly emails a newsletter and occasional announcements. We do not sell or share our mailing list.
A copy of your responses will be emailed to the address you provided.
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