ANNUAL MEMBERSHIP FORM
This is a: Renewal membership New membership (check box)
Fill out this form and mail it along with your payment, or SEND THE FORM and pay in person!
Name(s):
Address:
City/Zip:
Email:
Phone:
What type of garden do you have?
Tropical, arboreal, traditional, container, formal, vegetable, herb or other: <
What is your favorite garden feature:
Do you have multiple varieties of 1 type of plant:
 If yes, what type of plant(s):
What do you want to learn more about:
What gardening expertise do you have:
Would you be willing to host a meeting:
Would you be willing to work on a committee:
What is your Birthday
What is your profession:
Spouse (Partner, Significant Other)'s name:
How long have you been together/what is your anniversary:
What is your favorite vacation spot:

Member Dues (1 year) please check box:
$20.00
Single Membership     

Method of payment: Pay by Check Will pay Cash 
Would like to pay at the next meeting (you will be notified via email of the location).

Please make the check payable to: Gary Raush
If you wish to mail your payment, send it along with a print out of this form to:
Gary Raush,  5210 North Seminole Avenue, Tampa FL 33603

Please do not send cash through the mail, you can pay at the meeting! Turn in a print out of this form with your payment when you check in at the meeting.

    

Questions? Email: |
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