USE THE FORM BELOW AND SEND TO ED WOLF

P.O.BOX 6298

NEW ORLEANS ,LA.70174

 

SOUTHEAST LOUISIANA DAYLILY SOCIETY

Date--/--/----

Circle type of membership 

A)New Membership 

B)Renewal Membership 

C)Dues Submission 

D)Changes for Directory 

NAME------------------------------------------------- 

SPOUSE NAME------------------------------------------------ 

FULL MAILING ADDRESS& ZIP CODE------------------------------------------------ 

PHONE NUMBER(area code)--------- 

DUES $5.00 For Single OR $7.50 For Family Membership(year)

Make Check Payable To:SOUTHEAST LOUISIANA DAYLILY SOCIETY Or SELDS.