JOIN THE SPURIA IRIS SOCIETY, Inc.
USE THIS FORM TO JOIN
(Fill out & Print this page. Mail the completed page with your dues)
You may either print this as a blank page and fill it out by hand,
or fill it out now, then print the completed page.
THIS PAGE DOES NOT SUBMIT ANY INFORMATION VIA INTERNET.
IT IS FOR YOUR CONVENIENCE ONLY.
| Name: | |||
| Address: | |||
| City: | |||
| State: | |||
| Phone: | |||
| E-mail: | |||
Membership Dues (Please CHECK "X" appropriate selection) | ||||
| Single Annual | $9.00 | Single Triennial | $20.00 | |
| Family Annual | $12.00 | Family Triennial | $24.00 | |
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Overseas |
$12.00 |
Overseas |
$30.00 | |
AIS Member? (Please Check) | ||||
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New Membership
Expiration Date | ||||
| Mail CHECK and FORM To: | |
| Nancy Price SIS Membership Chair 32009 S. Ona Way Molalla, OR 97038 |
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