Membership Form
Yes, I want to join the Blue Ridge Wildflower Society!
Name(s):___________________________________________________________
Address:___________________________________________________________
City:_________________________ State__________________ Zip_________
Phone: H:_____________________ W:___________________
Email Address(es):__________________________________________________
Membership Dues:
__Individual $30 Make check payable to VNPS and mail to:
__Family $40 __ Student $15 Blue Ridge Chapter VNPS
__Patron $50 __Associate (groups) $40* P. 0. Box 20385
__Sustaining $100 __Life $500 Roanoke, Virginia 24018
*Designate one person for Associate membership:_______________________________
Please enroll me as:
__A member at large (You will not receive Local Newsletters/Information if you select this option)
__A member of The Blue Ridge Wildflower Society Chapter of VNPS
I wish to make an Additional Contribution to:
__VNPS in the amount of:__________________
__The Blue Ridge Chapter in the amount of:__________________
This is a Gift Membership.
Please include a card with my name as donor:_____________________________________
I am Interested in the following:
__Promotion of legislation aimed at plant protection __Development of programs, displays, literature
__Producing member publications __Photography __Stewardship of wildflower plantings/preserves
__Public speaking __Youth programs __Art __Plant rescue __Typing __Telephoning
__Other____________________________________________________________________
I wholeheartedly support The Society's efforts with my membership.
I have __time __little time __no time to participate as an active member.
__ Check here if you do not wish your name and address to be exchanged with similar organizations.
__Check here if you do not wish to be listed in a chapter directory
|