Ohio Arts & Crafts Guild Mail-In Membership Application

Please "print" this form, fill it in and mail to the address below with your payment.
This form cannot be filled in online.

Business Name: _______________________________________________

Name: _______________________________________________________

Address:______________________________________________________

City:_____________________________State:__________Zip:__________

Age:____________  Home Phone:_________________________________

Email:________________________________________________________

Website:______________________________________________________

Primary Medium:_______________________________________________

Secondary Medium:____________________________________________

Please Check one:

If joining between January & July -

_____$ 30.Adult Membership     

_____ $ 30.Library Membership

_____ $ 50.Patron Membership

_____    $   8.   Student Membership

I am a full-time student at:_______________________________

 
If joining between August & December -

_____$ 15.Adult Membership     

_____ $ 15.Library Membership

_____ $ 25.Patron Membership

_____    $   4.   Student Membership

I am a full-time student at:_______________________________

 

Make check payable to the Ohio Arts and Crafts Guild and mail to:

Ohio Arts & Crafts Guild
P.O. Box 35836
Canton, OH  44735

 

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Member's SignatureDate