Application for Membership

 

MEMBERSHIP APPLICATION

Gardeners of the Grove Garden Club

­­

Date: _________________________

 

______________________________

 First Name

 

______________________________

Last Name

 

Home Address_________________

 

City, State, Zip   __________________

 

Email Address__________________

 

Telephone # _____________________

 

Mobile # (opt)____________________

 

Emergency Contact Information:

_______________________________

Name 

___________           ________________

 Relationship           Telephone No.

 

  1. How did you hear about us? ________________________________________________________

 

  1. What are your gardening interests? ___________________________________________________

 

  1. Are there gardening topics you would like to learn more about?

____________________________________________________________________________

 

  1. Please check the activities you are interested in helping with:
  • Arts & Crafts
  • Board Position
  • Committees
  • Community Projects
  • Field Trips/Tours
  • Financial/Bookkeeping
  • Historian
  • Horticulture
  • Photography
  • Publicity
  • Website Mgmt.
  • Other ______________________________

 

Annual Dues: $20.00 individual; $35 couple – Check Payable to: GARDENERS OF THE GROVE

 

Mail Application & Check to:       Gardeners of the Grove

Attention: Treasurer

P.O. 2418

Elk Grove, CA 95759-2418

 

Date Received: ______________

(For Treasurer’s use only)