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Monterey Bay Dahlia Society 2009 Membership Form
Please fill out the form, write check, and mail to:
Membership Monterey Bay Dahlia Society P.O. Box 812 Soquel, CA 95073
Name(s)_____________________________________________________________________________________
Address______________________________________________________________________________________
_____________________________________________________________________________________________
Phone_(________)________________ Birth Dates of each member (not the year!)______________________
Email__________________________________________________ CHECK BOX
1) single/family with email newsletter--------------------------$10/year
2) single/family with mailed hardcopy newsletter------------- $16/year
$______________ If you also want to join the National Society, Add on: Optional American Dahlia Society Membership: Single $20/YR $_______________ (includes quarterly ADS Publication and Annual Classification Book) Family $23/YR $_______________ Membership Total $_______________ 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__________ |