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Membership Application
Name: _____________________________ Address: ____________________________ City, State, Zip: _______________________________________ Telephone : _______________________________________ E-mail: ________________________________________ Month of your Birthday______________
Would you be willing to serve on a committee or otherwise assist? Yes_________ No_______________
Permanent Name Tag? Yes______ No_____ Paid_____
Membership Dues are: $20 per year for individuals $25 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 CountyP.O. Box 17272Plantation, FL 33318We meet on the 3rd Monday of the month at 7:30 p.m. at: Jim Ward Community Center 301 NW 46th Ave. Plantation, Fl 33317 954-585-2353 Www.bromeliadsocietybc.com
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