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Roster and Dues Form

Print form then fill out and submit to pay dues or to change or update membership information.

Mail to:

  • ATTN Membership Chairperson
  • Cincinnati Art Club
  • 1021 Parkside Place
  • Cincinnati OH 45202

Email to:

Date

Name

Address

City, State, Zip

Phone

Email

Website

Spouse

Membership dues are payable on May 1 of each year regardless of when membership began. Please indicate membership status.

____ Associate Membership $105.00 ____ Signature Membership $120.00 ____ Out-of-Town Membership $35.00

Would you prefer to receive communications and information from the Art Club via Email?

____ YES     ____ NO


Please print clearly. This form is used to collect information that will appear in the Club's Roster. Mail or email completed form to the Cincinnati Art Club.