|
|
|
Monterey Bay Dahlia Society 2007 Membership Form It is time to renew!! The information we are collecting is critical to the smooth operation of the club. Some of the information may have already been submitted, however, we are trying to develop a useful list and have some gaps, so please help us by filling in all the spaces. If you joined and paid your dues for MBDS or the American Dahlia Society after September 1st you will not need to renew you dues again until December 2007. This is a one-time extension for late season new members. Please bring to the next meeting or mail to :Jean Biberdorf, Membership/Treasurer Monterey Bay Dahlia Society 2038 Ellen Avenue San Jose, CA 95125 Print very clearly and return to Jean Biberdorf ARE THERE ANY CHANGES IN THE FOLLOWING INFORMATION SINCE LAST YEAR? New email, etc?? YES NO
Name(s)_____________________________________________________________________________________
Address______________________________________________________________________________________ _____________________________________________________________________________________________
Phone_ (________)________________ Birth Dates of each member (not the year!)______________________
Email__________________________________________________ Membership Type: Single Monterey Bay Dahlia Society $10/YR $______________Family Monterey Bay Dahlia Society $10/YR $______________ Optional American Dahlia Society Membership: Single $23/YR $_______________ (includes quarterly ADS Publication and Annual Classification Book) Family $26/YR $_______________Membership Total OPTIONAL: Would you prefer to receive your newsletter via Email? ________YES ________NO Optional Monterey Bay Dahlia Society Personal Name Tag - $6 per member
Name(s) as you want to appear________________________________________________________________________ Number of Name Tags________ X $6 $_____________ --------------------------------------------------------------------------------------------------------------------------------------------------- (To be filled in by MBDS Membership Committee) Date Received:__________________ Amount Submitted: Local: $___________ ADS:$___________ Name Tags:$__________ Total:$___________Changes Submitted to: Newsletter Editor______ President:_______ Name Tag ordered__________ |