* = Required Field

Name*:

Position*:

District*:

Address*:

City*:     State*:     Zip*:

Telephone:

Fax:

Email*:

This registration form will be emailed to SV_TREAS@NOACSC.ORG

You may also print this page and send it to:

Diane Eutsler, Treasurer
Spencerville Local Schools
C/O WCOASBO
600 School Street
Spencerville, Ohio 45887

Registration cost: $20.00

Please make checks payable to WCOASBO

Payment must be made in advance.

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