Membership Dues (Please CHECK "X" appropriate selection)
JOIN THE AMERICAN 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) |
||||
| Single Annual | $25.00 | |
Dual Annual | $30.00 |
| Single Triennial | $60.00 | |
Dual Triennial | $75.00 |
| Single LIFE | $450.00 | |
Dual LIFE | $545.00 |
| Overseas: Add $5.00 to Single (Dual), Annual (Triennial) Memberships. | ||||
| Mail CHECK and FORM To: | |
| American
Iris Society c/o Tom Gormley P.O. Box 28 Cedar Hill, MO 63016-0028 |
|