Make $15.00 check payable to:
CPSA DC #119
Janie Yates
607 Myrtle Avenue
Terrace Park, Ohio 45174
Street Address ___________________________________
City ________________________|State ______________
Zip/Postal Zone _______________|County_____________
Phone __________________________________________
Email __________________________________________
Members must be 18 years or older. Must be member of the National Colored Pencil Society of America . Donations Welcome. Any amount in excess of dues is considered a donation and used for CPSA general operating expenses.
NATIONAL MEMBERSHIP APPLICATION RENEWAL



