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: Zip:
Phone:  
E-mail:  

Membership Dues
(Please CHECK "X" appropriate selection)
Regular 
Annual
$12.00  Regular 
Triennial
$30.00 
Overseas
Annual
$15.00  Overseas 
Triennial
$40.00 
E-member
Annual
$ 6.00 E-member
Triennial
$15.00
Family Memberships discontinued
For E-membership - MUST enter Email address above
Canada are not Overseas Memberships

AIS Member?
   (Please Check) YES  NO 
New Membership                  Renewal Membership 
 
Mail CHECK and FORM To:

Nancy Price
SIS Membership Chair
32009 S. Ona Way
Molalla, OR 97038
 
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