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American Rhododendron Society Membership Application Form


   

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

   

Name:

Affiliation / Second Name:

Street Address:

City:

State/Province:

Zip/Postal Code:

Telephone:

Fax:

E-Mail Address:

Confidentiality? (See note below)

Yes

No

Chapter:

Membership Category: (list below)

 

Membership Category

Yearly Dues ($US)

Regular
(one or two people at same address)

$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)

Note:  Confidentiality - 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!


American Rhododendron Society
Executive Director: P.O. Box 525, Niagara Falls, NY 14304
Ph: 416-424-1942   Fax: 905-262-1999   E-Mail: lauragrant@arsoffice.org
1998-2016, ARS, All rights reserved.