Membership Application
JOIN THE REBLOOMING IRIS SOCIETY
USE THIS FORM TO JOIN
(Fill out & Print this page. Mail the completed page with your dues)
You may either print this as a blank page and fill it out by hand,
or fill it out now, then print the completed page.
THIS PAGE DOES NOT SUBMIT ANY
INFORMATION VIA INTERNET.
IT IS FOR YOUR CONVENIENCE ONLY.
| Name: | |||
| Address: | |||
| City: | |||
| State: | |||
| Phone: | |||
| E-mail: | |||
Membership Dues (Please CHECK "X" appropriate selection) |
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| Single Annual | $10.00 |  |
Dual Annual | $12.00 |
| Single Triennial | $25.00 | |
Dual Triennial | $30.00 |
| Overseas
members please add $5.00 to each year of the domestic rates shown and Check "X" mark this box |
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| AIS Member? (Please Check) YES
NO
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