Spuria Iris Society - Checklist Form

SPURIA IRIS SOCIETY Check List Form

USE THIS FORM TO Order
(Fill out & Print this page. Mail the completed page with your payment)
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:

Checklist Fees:


# of copies: _____ # of copies: _____ # of copies: _____	$50.00 (USA) $55.00 (Canada) $65.00 (International)

Mail CHECK and FORM To:
	Nancy Price SIS Membership Chair 32009 S. Ona Way Molalla, OR 97038

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