Membership

Here is your opportunity to be part of something special and to give something back... to the community...to the environment.. and your fellow man.

Please fill out the application below. Come join us as our quest for "growing older but not up".

If you prefer to print out the application, it is available here. (CPHC Application)

If you have any questions, contact our membership director at membership@cphc.com.

* First Name:   * Last Name: * Address: * City: * State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wyoming * Zip Code: * Phone: *Email Address: *Birthday: 01 02 03 04 05 06 07 08 09 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Occupation: * Can we contact you to help out at club events (Yes or No) ?

The Obligatory Fine Print * Each member of the Cincinnati PHC is responsible for his or her own actions and behavior whether negative or positive. * Membership in the club does not give the member permission to use Jimmy Buffett's name, song titles,lyrics, names of business or other trademarked, copyrighted, or reserved material owned by Jimmy Buffett. Nor can any member use the logo of the Cincinnati Parrot Head Club, Inc., or Parrot Heads in Paradise, Inc. ** Annual dues are $25/person- Renewals are due January 1st of each year. If filling out printed form: Make checks payable to: Cincinnati Parrot Head Club Bring completed form and check to next club meeting (see events calendar)