Become a COSE Member Please enable JavaScript in your browser to complete this form.I am interested in becoming a COSE member. YesI have questions about becoming a memberProvide your company name:Location (County):Cuyahoga CountyGeauga County Lake CountyLorain County Medina CountyOtherZip code:Number of full-time employees:1-10 employees11-50 employees51-200 employees200+ employeesAnnual revenue:Prefer not to share Less than $500,000$1 million - $10 million $10 million - $50 million $50 million - $100 million $100 million - $500 million $500 million + PLEASE NOTE: Revenue information is confidential and only used for the purposes of calculating our fair-share dues formula.Name *FirstLastPhone number (###) ###-####Email *How did you hear about us? Affiliate or partner organizationBrokerCrain's Cleveland Business EmailInsurance Internet Newspaper OtherRadioReferralSocial Media Television Workers' Comp How would you like us to contact you? Phone Email Submit
