2008 Membership
Registration Form
_________New Member
_________Renewal Membership
Single Membership Dual Membership
Name: _____________________________ Name:_________________________
Address:_________________________________________
Phone #:____________________________
Cell# (optional) _______________________ Cell# (optional) __________________
e-mail:______________________________ e-mail:_________________________s
Membership Dues - check one (payable by calendar year/not prorated)
| Membership Type | Dues (check one) | Amount | |
| ___Single Membership |
__1 yr = $10 |
|
$ |
|
___Dual Membership |
__1 yr = $15 |
__ 2 Yr = $30 |
$ |
|
___Name Badge* |
___ x $5.25 each |
+$ |
|
|
|
|
|
|
|
Total
Payment: make check payable to SOGHS |
=$ |
||
*Name on Name Badge: ___________________
*Name on Name Badge: ___________________
(If you would like to order a name badge, or order a replacement, indicate how you would like your
name/s
engraved and include the fee in your membership dues)
Cost is $5.25 each.
Check a committee
/s on which you are willing to serve:
| ____Garden Tours | _____ American Hosta Society |
| ____Program & Education | _____Midwest Regional Hosta Society |
| ____Membership & Promotions | _____Minnesota State Hosta Society |
| ____Hope Lodge Committee | |
| ____Plant Sale, (check) ___Planning Committee ___Helper | |
| ____Hostatality | |
| ____Retail Sales | |
| ____Volunteer Pool | |
Submit form & payment to: Shades of Green Hosta Society
Date
Paid___________
"2008 Enrollment Form"