Print this application form by clicking the printer icon on your browser's tool bar.
Membership Application
| Name(s) | _________________________________________ |
| Address | _________________________________________ |
| City, State & Zip+4 | _________________________________________ |
| Telephone | (____)____________________________________ |
| Fax | (____)____________________________________ |
| Email Address | _________________________________________ |
| Homepage URL | _________________________________________ |
| |
|
| 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 |
| |
|
| Dues: $25.00 | Per calendar year per household. |
| Make check payable to: | Illinois Orchid Society |
| |
|
| Mail with completed | George Titterton |
| application to: | 1068 W. Catalpa Ave. #K3 |
| Chicago, IL 60640-1514 |