Membership Dues (Please CHECK "X" appropriate selection)
YES
NO JOIN SIGNA
(Species Iris Group of North America)
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 | $ 9.00 | |
Dual Annual | $10.00 |
| Single Triennial | $24.00 | |
Dual Triennial | $25.00 |
| AIS
Member? (Please
Check) YES
NO |
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| Mail CHECK and FORM To: | |
| SIGNA c/o Rodney Barton 3 Wolters Street Hickory Creek, TX 75065 |
|