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American Rhododendron Society On-line Application for Membership


To be used for new members only.  No renewals please.
Credit card or Paypal payment.

* Required Information 
 * First Name: 

  

* Last Name: 

  

Affiliation or Additional Name: 
(Business, organization or 2nd person in same household) 

  

* Mailing Address: 

  

* City: 

  

State/Province: 

  

Zip/Postal Code: 

  

* Country: 

  

Telephone: 

  

Fax: 

  

E-Mail Address: 

  

* Select a Chapter: 

     (Chapter locations)

* Confidentiality: 
Member information appears in a published roster.
Select "No" to not have your phone, fax & e-mail address published.

  

* Membership Category

Yearly Dues

Select One

Regular 
(One or two people in same household)

$40

Commercial-Corporate 

$90

Sustaining 

$75

Sponsoring 

$150

Life, single 

$1000

Life, family 

$1500

Type the characters from the RED box.
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Security:  Secure socket layer (SSL) technology is used to protect your personal information.
SSL guarantees that personal information is transmitted safely using encryption.

 


American Rhododendron Society
P.O. Box 214, Great River, NY 11739
Ph: 631-533-0375   Fax: 866-883-8019   E-Mail: member@arsoffice.org
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