Name: ______________________________________ Birthday Month: ______
Phone: (_____)_____________
Name(s) 2 (if family membership): ______________________ Birthday Month(s): _________
Mailing address: __________________________________ City: __________________
State: _____ ZIP: _________
Email: ________________________________; Do you want your e-mail address added to our membership message broadcast data file? You can receive messages & notifications of events between the monthly newsletters. /___/ Yes; /___/ No.
Are you a dues paying member of the American Rose Society (ARS) and do you receive
their monthly magazine? ____ Yes; ____ No
The Temecula Valley Rose Society is dedicated to encouraging the appreciation, study and culture of roses within the membership and within the community. With this community spirit of voluntarism in mind, I am willing to serve on one or more of the following committees:
| __ Auditing | __ Garden Workshops | __ Refreshments |
| __ Beautification | __ Historian | __ Rose Haven Garden |
| __ Budget | __ Club Library | __ Annual Rose Show |
| __ By-laws | __ Membership | __ Telephone contacting |
| __ Communications | __ Programs | __ Ways and Means |
| __ Community Outreach | __ Publications |
A program topic of particular interest to me would be: ________________________________________________
Date: ________________
Please check one and enter the total.
| __ Single membership | $23.00 * | |
| __ Family membership | $36.00 * | |
| __ Life membership | $250.00 * | * Includes the monthly on-line newsletter. |
| __ Mailed newsletter only | $12.00 |
Total amount enclosed: $_________
Members joining after June 30 shall pay 1/2 the regular dues for that year. After November 1st full dues will cover the next full year.
(Note: Dues include a one-time charge of $3.00 for a membership badge.)
Name(s) to put on your badge(s): _________________________________
Mail your completed application with your payment to:
Bonnie Bell, Membership Chair
Temecula Valley Rose Society
P.O. Box 890367
Temecula, CA 92589-0367