Membership Appeal Request Form

This template is provided for your convenience in requesting Membership appeals online. Please complete this form and press the "Submit Membership Appeal Request" button at the bottom.

Name:
Department:	Phone:
Purpose:

Please check the applicable appeal type below: The appeal type describes the method of solicitation used. Only one type of solicitation per form please.

	Membership Direct Mail Appeal (D)	This appeal type applies to direct mail solicitation handled and processed by OSUAA Membership Program.
	Membership Event Appeal(E)	This appeal type applies to membership solicitation during specific events such.
	Membership Newsletter (N)	This appeal type applies to membership solicitation included in any OSUAA publication.
	Newsletter with Solicitation(N)	This appeal type applies to solicitation pieces included in a unit/department/college newsletter mailing.
	Membership Personal Appeal (P)	This type applies to person to person membership solicitation appeal.
	Membership Solicitation Letter (S)	This type applies to specific membership solicitation letter sent directly to entities.
	Membership Telefund (T)	This appeal type applies to any membership solicitation using telemarketing callers.

Indicate the Appeal Title below: The appeal title is limited to 56 characters including spaces.

Indicate the date range of this appeal: The date range can be fiscal year or calendar year.

Start Date:

Stop Date:

Complete the statistics below: (Optional) Although the items below are optional, it does serve as useful information to have when comparing cost of your solicitation from year to year.

Postal Cost:		Phone Cost:
	Total cost of postage, if applicable		Total cost of phone calls, if applicable

Staffing Cost:		Vendor Cost:
	Total cost of staff involved		Total cost paid to vendors

Number Solicited:		Sent:
	Number of individuals solicited		Number of mailing pieces sent

Contact Person:
	Print full name or Advance ID Number or both

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