Affiliate Application & Renewal Forms 2021

Please use the PDF fillable forms below:

OSBA Affiliate Application Form – Affiliate Application Packet

OSBA Affiliate Renewal Form – Affiliate Renewal 2021

OSBA End of Year Reconciliation Form – Affiliate End of Year Reconciliation 2021

OSBA PayPal/Credit Card Link – Please use the donate button to the upper right Donate with PayPal button



#1. Using the PayPal/Credit Card link above – use “Other Amount” and type in the grand total of the fees.

#2. Use the “(Optional) Use this donation for” dropdown bar and click “Affiliate Program”. 

#3. Click either “Donate with PayPal” or “Donate with a Debit or Credit Card” options. 

#4. Scan & email the completed pdf forms to


Mail-in Options:

Completed forms mailed to OSBA Vice-President – Tom Rathbun, 4865 Co. Rd. 175, Clyde, OH 43410

Payments mailed to OSBA Treasurer – Rod Pritchard, 955 Murnan Rd., Galloway, OH 43119