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This is your opportunity to be part of something special and to give something the the your fellow man.

Please complete the application below.  Come join us in our quest for "growing older but not up."

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

If you have questions, please contact our Membership Director at membership@cpchc.

Can we contact you to help our at Club events?

Thank you. Your application has been submitted.

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- R
enewals are due January 1st of each year.

Payment options:

Venmo:                                                                  US Mail:  Brian Rex Dalton                             Credit card payment:   Please contact Brain Rex Dalton 

                                                                                                   625 Dell Ridge Drive                                                                      via telephone: 937.416.6835

                                                                                                   Kettering, OH  45429






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)

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