Individual Membership Application or Renewal
Thank you for your interest in becoming a member of The Brain Injury Association of Ohio. You are the backbone of our organization. If you have any questions or problems completing this form, or if you do not receive acknowledgement of your membership, please e-mail Emily Smith at
Please use this form for Regular, Professional, Student or Constituent Memberships.
Corporate Members, please complete a Corporate Membership Application or Renewal form.
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