RAKES & BLADES of Florida ~ Membership Form

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:
Special Plant Knowledge:
General Interests:

Member Dues (1 year) please check box:
$15.00 Single Membership $25.00 Household 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.

Please check the box below if you would prefer a paper newsletter mailed to your address as written above. Check here if you require a paper newsletter.

Questions? Email: |