MEMBERSHIP APPLICATION
Please print, fill out, and mail completed forms with appropriate payment.

Name		Joint Name
Studio
Address
City/State/Zip
Phone		Fax
E-mail		Website

Media Categories - Choose the one or two most appropriate letter codes below to indicate your work or areas of interest
Primary Medium		Secondary Medium

Please specify if you select OM - Additional Media

AA	Arts Administrator	B	Baskets	FC	Clothing	J	Fine Metal Jewelry	PH	Photography
AE	Arts Educator	BW	Beadwork	FO	Fiber	JO	Jewelry	S	Sculpture
CL	Collector	CF	Functional Ceramics	G	Graphic Arts	L	Leather	SD	Surface Design
CE	Craft Enthusiast	CO	Decorative Ceramics	GB	Blown Glass	M	Metal	SS	Soft Sculpture
CT	Consultant	D	Dolls	GO	Glass	MI	Musical Instruments	T	Toys
ID	Interior Designer	E	Enamels	GS	Stained Glass	OM	Additional Media	TX	Textiles
AQ	Art Quilts	F	Furniture	HP	Paper	PC	Polymer Clay	W	Wood
						PA	Painting	WV	Weaving

MEMBERSHIP OPTIONS please circle the membership categoryof your choice.	1 YEAR	3 YEARS	LIFETIME
Individual	$35	$100	$600	_____	I do not exhibit at craft fairs. Please do not send me craft fair applications.
Joint (at same address)	$45	$130	$800	_____	Please contact me about volunteering at the following:
Student (with proof of enrollment)	$20	$55	n/a		___ Winterfair Indianapolis ___ Winterfair Cincinnati ___ Winterfair Columbus ___ Craft fair at Hathaway Brown (Cleveland) ___ Art Studio Clearance Sale (Columbus)
Senior (65 and over)	$25	$70	n/a		Mail to:
Business/Education	$55	$160	$1,000		Membership Ohio Designer Craftsmen 1665 West Fifth Avenue Columbus, Ohio 43212
		Total
If paying by check or money order, please make payable to ODC				Check	Credit Card
__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __				Exp. date __________ Type of Card __________
Total Amount $_________	Signature________________________________________________________________
If paying by credit card, please supply your billing address if it is different than the address above.
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