CCM Membership Form

  1. Completely fill out the membership form.
  2. Click here to print this page.
  3. Mail your completed from to:

    The
    Clintonville Community Market
    200 Crestview Road
    Columbus, OH 43202

    with your enclosed payment., or drop by in person. Thanks!

Your Information
Primary Name
Second Name for Household Membership
Address

 
Phone
Email
Can we share your name with other like-minded organizations?
Do you want to be in our Member Directory?
 
Membership Type

5% Discount: Individual or Household Co-op Membership ($25/year)
10% Discount: Individual Co-op Membership ($100/year)
10% Discount: Household Co-op Membership ($125/year)
10% Discount: Individual Joint Co-op and Simply Living Membership ($100/year)
10% Discount: Household Joint Co-op and Simply Living Membership ($125/year)