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Mail to: Rene Biggs Peninsula Orchid Society P. O. Box 6894 San Mateo, CA 94403-6894 | |||
| Type of Membership: New ______ Renewal ______ | |||
| Individual | ________ $20.00 | Additional Member same household | ________ $10.00 |
| Senior | ________ $14.00 | Additional Member same household | ________ $10.00 |
| Business | ________ $26.00 | ||
| Name(s) | (1) __________________________________________________ | Birthdate | ______________ |
| (2) __________________________________________________ | Birthdate | ______________ | |
| Address | __________________________________________________ | ||
| City | __________________________________________________ | ||
| State | __________________________________________________ | ||
| Phone | __________________________________________________ | ||
| (1) __________________________________________________ | |||
| (2) __________________________________________________ | |||
| Please mark the items listed that you may be interested in: | |||
| ___ Volunteering | ___ Becoming a Board Member | ||
| ___ Being a Meeting Speaker | ___ Giving a Skill Session | ||
| ___ Help with setting up meeting | ___ Helping with meeting take down/clean up | ||
| ___ Helping at the Member's sales table at meeting | |||
| Comments/Suggestions: | |||
| To be completed by Membership Chairperson: | |||
| Date Paid | ________________ | Given a directory: | ________________ |
| Check No. | ________________ | Check Amount | ________________ |
| Receipt No. | ________________ | Cash Amount | ________________ |
| Notes: | |||