I'm interested in membership. Please contact me.
I'm interested in participating in the Workers' Compensation Group Rating
Program.
Your Name:
Title:
Company Name:
Phone:
Fax:
My fax receives messages automatically.
Please call ahead so I can turn on my fax machine.
Address:
City:
State:
Zip:
Internet E-mail:
Company Web Site:
Type of Business:
Accounting Services
Advertising,
PR, Marketing & Related Services
Agribusiness
Animal & Pet Related
Asphalt, Brick & Concrete
Appliance
Sales & Service/Equipment Rentals
Association
Chambers Of Commerce
Computer Related
Construction/Contracting
& Related Services
Delivery Services
Educational Institutions
Entertainment & Tourism
Environmental Services
Financial Services
Food
& Beverage Production/Distribution
Health Care Facilities
Health Care
Providers & Services
Health Care
Supplies & Equipment
Home Improvement
Hospitality
Human Resource Services
HVAC,
Electrical Contractors & Plumbers
Industrial - Service
& Repair
Insurance
Landscaping Service
& Supplies
Legal Services
Manufacturing
- Automobile Components, Parts & Services
Manufacturing
- Automobiles & Trucks
Manufacturing - Aviation
Manufacturing - Chemical
Manufacturing - Electrical
Manufacturing - General
Manufacturing - Glass
Manufacturing - Metals
Manufacturing
- Pharmaceutical
Manufacturing - Plastic
Manufacturing - Rubber
Miscellaneous
Natural Resources
News Media
Office Products &
Services
Paper & Packaging
Personal Services
Photography
Printing & Publishing
Professional Services
Public Administration
Public Affairs
Real Estate
& Property Management
Recreation & Athletic
Clubs
Religious
& Charitable Organizations
Restaurants
Retail Trade - Automotive
Retail Trade -
Consumer Goods
Retail Trade - Food
Sanitation,
Linen Supply, Janitorial Services & Supplies
Security & Safety
Systems
Telecommunications
Transportation
Trucking,
Logistics & Warehousing
Utilities
Wholesale Trade
Number of Full-Time Ohio Employees:
Number of Ohio Locations:
Which issues
present your business with the greatest obstacles?
Energy Costs
Environmental Compliance
Health Care Benefits
Taxes
Trained Workforce
Workers' Compensation
Other