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Membership Form
Fill out this form for membership. Your membership will not be complete until you make your payment.
Thank you.
This google form does not connect to the link to pay for a membership. In order to pay for your membership use one of the links below.
Or join online using PayPal at one of the links below:
Individuals can pay online at
https://ohiodance.org/membership/individual-membership/
Organizations pay online at
https://ohiodance.org/membership/organizational-membership/
Checks may be payable to OhioDance with the memo "Last name, membership"
Please mail your check to:
OhioDance
77 South High Street, 2nd Floor
Columbus, OH 43215
Questions?
Contact Jane D'Angelo at 614.224.2913 or
jane@ohiodance.org
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Last Name
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First Name
Your answer
Organization Name
Your answer
Organization Contact
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Address
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City
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State
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Zipcode
Your answer
Email
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Home Phone
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Work Phone
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Website
Your answer
Individual Membership
Choose
Individual: $45
Individual (2 Years): $80
Student: $25
Student (2 Years): $40
Household: $60
Household (2 Years): $100
Business (Single proprietors: i.e. chiropractor, costume designer): $75
The following receive all membership benefits at the donation level and name listed in all programs
Choose
Supporter: $80
Sponsor: $150
Donor: $250
Benefactor: $500
Patron: $1,000+
Orginizational Membership (dues are based on your organization's budget)
Choose
Silver (up to $50,000) $60
Silver ($51-100,000) $100
Gold ($101-250,000): $200
Gold ($251-500,000): $300
Platinum ($501-1M): $500
Platinum ($1M+): $750
If you would like any of the following information to not be displayed on our online public membership directory, please check the cooresponding box
Name
Organization Name
Address
Email
Home Phone
Work Phone
Website
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