OVS Membership Form
Please complete this form if you are a new member, or an existing member that needs to update your contact information.
For questions please contact:

OVS Secretary, Shelly Przybylski, kuyatsa@mail.uc.edu

You may also reach out to:
Cynthia Eghbalnia (as AIHA President-Past), or to Chris Amidon as our new OVS President for 2020-21 at http://www.ohiovalleyaiha.org/Contact-Us/

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Email *
Name (First and Last) *
Street Address *
City, State and Zip Code *
Phone Number *
Company *
Job Title *
Credentials *
Are you currently a National AIHA member *
I wish to be a: *
Do you have any suggestions for speakers or meetings, or topics that you wish to learn about? (Optional)
Do you have a preferred meeting time *
Are you interested in volunteering to support one of the following OVS projects, or are there other projects you would like to support?(Check the projects that interest you, or describe any additional projects you would like to support) (Optional)
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If you have any further suggestions or needs please indicated them in the field below, or feel free to contact any of our executive team members (listed at: http://www.ohiovalleyaiha.org)
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