Membership Application

(Renewals – Just correct the mailing label on the other side)

Name:                 __________________________

Address:                __________________________

City, State, Zip:   ___________________________

Telephone :             ____________________________

    

E-mail:                 ___________________________

Month of your Birthday______________

 

Would you be willing to work on a committee or other capacity? Yes_________ No_______________

 

Permanent Name Tag? Yes______ No_____ Paid_____

 

Membership Dues are:

                          $15 per year for individuals

     $20 per year for more than one member at the same address

 

Please make check payable to Bromeliad Society of Broward County       and mail this page to:

 

                                       Larry Searle, Treasurer

                        Bromeliad Society of Broward County

                                         P.O. Box 17272                

                                 Plantation, FL 33318

 

Where we meet:      Jim Ward Community Center

                                       301 NW 46th Ave.

                                     Plantation, Fl 33317

                                        954-585-2353

                  Www.bromeliadsocietybc.com