 RENEWAL                    OHIO FEDERATION OF MUSIC CLUBS

 NEW                                           SENIOR SPECIAL MEMBERSHIP

                Please complete this form (Print or Type)                                         Date __________________________

 

Name: ____________________________________________         

Address: _________________________________________   City & Zip Code: ______________________________

Phone No:  (              )                                                 E-Mail Address: ____________________________________

Are you a Junior Club Counselor?   Yes        No      If yes, name of club       ____________________________________

Annual dues of $50 (enacted at the Fall Session in Denver) include one subscription (3 issues) of

Music Clubs Magazine and 4 issues of Ohio Music Club News.                              Amount Enclosed __________

 

Send completed form and a check or Money Order  (payable to OFMC) to the State Treasurer:

 

Jeannine Morris 
200 Country Club SE
Warren, OH 44484
(330)392-5690
jkmorris200@embarqmail.com

 

*This form may be photocopied, or it is available on-line at: www.ofmc.org