MONROE COUNTY GARDEN CLUB
      MEMBERSHIP APPLICATION


 
      Name_________________________________________________
 
      Address_______________________________________________
 
      ______________________________________________________
 
      Telephone_____________________  Date____________________
 
      Email_________________________________________________
 
      Birthday (Mo-Day) _______________________________________
 
            ___Awards
            ___Bus trips (planning)
            ___Civic Development (Public gardens
            ___Club projects (garden tours etc)
            ___Conservation & Environmental Ed.
            ___Horticulture & Design
            ___Horticultural Therapy (nursing home)
            ___ Scholarships
            ___Youth Gardening ( Elementary School)
            ___Ways & Means (Fundraisers)


      Annual Dues $20.00 – May – April
      New members after Nov to April 1st- $10.00
 
I understand that  this is a working organization and I am willing to  participate in at least one the listed committees.( Please Check One of the above)

Signature__________________________________________

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Make check payable to MCGC and mail to:
Sandra Roy- Financial Secretary
PO box 216 Canadensis PA 18325