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Membership Application (Print
and Mail)
Print out, fill in the form below
and mail along with a check ($US) to:
American Rhododendron Society
P.O. Box 525 Niagara Falls, NY 14304
The form can also be faxed to: 905-262-1999 |
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Name: |
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Affiliation / Second Name: |
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Street Address: |
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City: |
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State/Province: |
Zip/Postal Code: |
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Telephone: |
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Fax: |
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E-Mail Address: |
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Confidentiality? (See note below) |
Yes |
No |
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Chapter: |
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Membership Category: (list below) |
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Membership Category |
Yearly Dues ($US) |
Regular
(one or two people in same household) |
$40.00 |
| Commercial-Corporate |
$90.00 |
| Sustaining |
$75.00 |
| Sponsoring |
$150.00 |
| Life, single |
$1,000.00
Payable over 3
year period
($400, $300, $300) |
| Life,
family |
$1,500
Payable over 3
year period
($500, $500, $500) |
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Note: Confidentiality - May we have permission to use this information in our membership roster and
other Society publications? All members' addresses appear in our
membership roster, but checking "No" will avoid showing your phone, fax and
E-mail address. |
Thank you for joining the
American Rhododendron Society!
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