ANNUAL MEMBERSHIP FORM
This is a: Renewal membership New membership (check box)
Fill out this form and mail it along with your payment, or SEND THE FORM and pay in person!
Name(s):
Address:
City/Zip:
Email:
Phone:
What type of garden do you have?
Tropical, arboreal, traditional, container, formal, vegetable, herb or other: <
What is your favorite garden feature:
Do you have multiple varieties of 1 type of plant:
 If yes, what type of plant(s):
What do you want to learn more about:
What gardening expertise do you have:
Would you be willing to host a meeting:
Would you be willing to work on a committee:
What is your Birthday
What is your profession:
Spouse (Partner, Significant Other)'s name:
How long have you been together/what is your anniversary:
What is your favorite vacation spot:

Member Dues (1 year) please check box:
$15.00
Single Membership     

Method of payment: Pay by Check Will pay Cash Paid by PayPal
Would like to pay at the next meeting (you will be notified via email of the location).

Please make the check payable to: Gary Raush
If you wish to mail your payment, send it along with a print out of this form to:
Gary Raush,  5210 North Seminole Avenue, Tampa FL 33603

Please do not send cash through the mail, you can pay at the meeting! Turn in a print out of this form with your payment when you check in at the meeting.

    

Questions? Email: |
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