Membership

Monterey Bay Dahlia Society 2010 Membership Form

Membership from 1-1-10 through 12-31-10

Please fill out the form, write check, and mail to:

Membership

Monterey Bay Dahlia Society

2038 Ellen Avenue

San Jose, CA 95125

Name(s)_____________________________________________________________________________________

Address______________________________________________________________________________________

_____________________________________________________________________________________________

Phone_(________)________________ Birth Dates of each member (not the year!)______________________

Email__________________________________________________

CHECK BOX

There are 2 MBDS memberships:

single/family with email newsletter--------------------------$10/year

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 - $7.50 per member

Name(s) as you want to appear________________________________________________________________________

Number of Name Tags________ X $7.50 $_____________

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