Temecula Valley Rose Society



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

Name #1: ______________________________________ Do you want you birthday to appear in the Newsletter? ______

Birthday Month & Day: _________

Phone: (_____)__________________;   Cell: (_____)__________________

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

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

Do you want your email address added to our membership list?
You will receive monthly newsletters, messages & notifications of events. /____/ Yes;  /____/ No.

Email: ________________________________________

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 committee(s):

 __ 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? ______________________________________________________

Interested 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 Newsletter on the Internet at
www.temeculavalleyrosesociety.org/newsletter-index.html

For NEW members add $10.00 each for a required 1-time 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