APPLICATION FOR MEMBERSHIP INDIANA DAYLILY-IRIS SOCIETY


Name/s ___________________________________

Date _____________________________________

Phone (_________) _________________________

Address ___________________________________

City______________________________________

State _____________________________________

Zip _______________________________________

E-mail_____________________________________


Annual Dues - (January 1st - December 31st)

Single year membership
Individual - $12.00 -or- Dual (same household) - $18.00

Three year membership
Individual - $33.00 -or- Dual (same household) - $50.00

Make checks payable to: Indiana Daylily-Iris Society and mail to:
Greg Beavers, 8365 S Old State Road 37, Bloomington, IN 47403

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