Membership Application

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

Name:                 __________________________

Address:                 __________________________

City, State, Zip:   ___________________________

Telephone :             ____________________________

    

E-mail:                 ___________________________

Month of your Birthday______________

Do you want a name tag?  YES _________ NO____________

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

 

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:

                                                    Bill Frazel, Treasurer

                                 Bromeliad Society of Broward County

                                                 P.O. Box 551152                       

                                               Davie,  FL 33355

Where we meet:  Broward County Extension Education

Division

                3245 College Avenue - Davie, Fl

                                                    33314-7719

                               Phone: 954-370-3725 ext. 252

                               Fax: 954-370-3737

                               www.broward.org/extension

                               Www.bromeliadsocietybc.com