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Membership Application
| Name(s) | _________________________________________ |
| Address | _________________________________________ |
| City, State & Zip+4 | _________________________________________ |
| Telephone | (____)____________________________________ |
| Fax | (____)____________________________________ |
| Email Address | _________________________________________ |
| Homepage URL | _________________________________________ |
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| I grow my orchids: | |
| q | On windowsills. |
| q | Under lights. |
| q | In a greenhouse. |
| I have approximately | __________ orchid plants. |
| Special interest | ___________________________________________ |
| q | I am a member of the American Orchid Society |
| q | I am a member of the Chicago Botanic Garden |
| |
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| Dues: $25.00 | Per calendar year per household. |
| Make check payable to: | Illinois Orchid Society |
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| Mail with completed | Ms. Felicia Cochran |
| application to: | 1049 David Dr. - Apt. 1E |
| Bensonville, IL 60106 |