To participate in the OSRT Quiz Bowl Competition, a Team participation fee of $20.00 and the application is due no later than March 1.
Name of Institution (*)
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Program Director (*)
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Contact Email (*)
Please enter a valid email of the form userid@email.com
Program Phone (no dashes) (*)
Program City (*)
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State (*)
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Zip Code (*)
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Advisor Name (*)
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Advisor Name
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This application and fees may be submitted without listing team members; however, team members need to be identified by March 1. A maximum of 8 students may participate on the Quiz Bowl team. If you know now, please fill in the participants' names in the fields below. All participants must be members of OSRT or student members of another ASRT affiliate.
Student Name
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Student Name
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Student Name
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Student Name
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Student Name
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Student Name
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Student Name
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Student Name
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OSRT is able to accept payment online with a credit card through OSRT's PayPal account process or through mail by check, money order or credit card information. Please choose below how you would like to pay for your membership.
Payment Options (*)
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STATEMENT

The Ohio Society of Radiologic Technologists is a 501(c)(6) organization; therefore, fees collected could be considered a charitable donation. Seven and one-half percent (7.5%) of the Quiz Bowl Registration fee ($1.50) could be allocated toward legislative activities of the OSRT and, as such, cannot be deducted for tax purposes.