Membership Application for /__/ New, or /__/ Renewal (Check one).

Name #1: ______________________________________ Birthday Month & Day: _________
Phone: (_____)__________________;   Cell: (_____)__________________

Name #2 (If family membership): ___________________________ Birthday Month & Day: _________

Mailing address: _______________________________________ City: __________________  State: _____ ZIP: _________

E-mail: ________________________________________
Do you want your e-mail address added to our membership list?
You will receive monthly newsletters, messages & notifications of events. /___/ 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 __ Youth Gardening

A program topic of particular interest to me would be: ________________________________________________

Can you recommend an interesting speaker? _____________________________________________________________

Interest in going on field trips? ____ Yes; ____ No.

Please check ONE and enter the total.
__ Single membership $25.00 *
__ Family membership $30.00 *
__ Life membership $250.00 *  * Includes our monthly eNewsletter on the Internet at temeculavalleyrosesociety.org/nl/newsletters.shtml.

For NEW members add $10.00 each for a required name badge.

Total amount enclosed: $___________________; Check number: ______; Date: ____________

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 $10.00 for a membership badge.)

Name(s) to put on your badge(s): _________________________________

Mail your completed application with your payment to:
Membership Chair
Temecula Valley Rose Society
P.O. Box 890367
Temecula, CA 92589-0367

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