West Virginia

Garden Club, Inc

2008-09 Club Membership List &

Garden News Mailing List

Complete two (2) copies. Mail both copies, plus dues payment and assessments to:

Cynthia Kozakewich, WVGC Assistant Treasurer • 515 Stanley Ave. • Clarksburg, WV, 26301

Type or print

Club Name ________________________________________________

District ________________________

2008-09 Club President ____________________________________________

Address ____________________________________

City ____________________________ ZIP ________

Phone ___________________ E-mail _________________________________

Club Treasurer____________________________________________________

Address ____________________________________

City ____________________________ ZIP ________

Phone ____________________ E-mail ________________________________

Does your club sponsor a junior, intermediate, high school, conservation, ecology, or other type of youth group? If so, please complete this section:

Name of Youth Club________________________________________________

Adult Leader's Name: ______________________________________________

Address____________________________________

City______________________________ ZIP ________

Phone _________________E-mail ___________________________________

Dues must be paid by July 1, 2008. Make check payable to West Virginia Garden Clubs, Inc.

Annual dues for 2008-09 @ $10.00 per member

 Number __________x $10.00 $ __________

Annual Flower Show & Landscape Design School

 assessment @ $2.00 per club $ __________

Registration for Junior/Intermediate club @ $1.00 per club $ __________

Registration for High School club @ 10¢ per member

Number __________x 0.10 $ __________

Total enclosed $ __________

Please read carefully

Double check names and mailing addresses for accuracy – especially since some rural addresses are changing in our state. Make corrections, additions and deletions to the roster attached. This is the current mailing list for your club as of May 1, 2008. If names are missing it is possible they were removed because of incorrect mailing addresses.The Post Office will not deliver to an incorrect address (even those off by one digit) and it will be returned to our circulation manager for approximately $1.50 per copy). Returned names will be removed until they are updated. Each club is responsible for updating addresses. Designate State Life Members (SLM) and National Life Members (NLM) by names.

Please attach a list of all member who have died since July 2007 and approximate date of death.