CHOCOLATE STATE UNIVERSITYTM

Membership Enrollment Form

Complete the form and include the annual $25.00 Membership Fee.
Make checks or money orders payable to Four C’s Productions and mail to:

FOUR C’’S PRODUCTIONS
c/o CSU MEMBERSHIP CLUB
P. O. BOX 23428
WASHINGTON, DC 20026
Note:
If you are enrolling more than one child, please complete an Enrollment Form for each child.

Child’s Name:
Parent’s Name:
Child’s Age: Youth Size* Adult Size*
Street:
City:
State:
Country:
Zip:
 

Parent’s Signature:___________________________________________

*T-Shirt Size:
Toddler: (2-4), Youth: (S) 6-8, (M) 10-12, (L) 14-16, (XL)=Adult (M);
Adult Sizes: (L), (XL), (XXL)

    

CHOCOLATE STATE UNIVERSITYTM MEMBERSHIP CLUB

For ”Kids Who Love the Arts and Love to Learn”

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