Membership Dues (Please CHECK "X" appropriate selection)
Overseas,
outside AIS Regions
Overseas
Single Annual
Overseas
Single Triennial
AIS Member? (Please Check)
YES
NO
Renewal Membership Expiration Date
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) YES
NO | ||||
|
New Membership
Renewal Membership Expiration Date | ||||
| Mail CHECK and FORM To: | |
| Nancy Price SIS Membership Chair 32009 S. Ona Way Molalla, OR 97038 |
|