Greater Rochester Perennial Society

Membership Application

Annual dues
	Single/individual:     $15 
        Dual/couple:           $25

Checks payable to Greater Rochester Perennial Society (GRPS)



Please print:


Name ______________________________________________________


Address ___________________________________________________


City/State  _______________________________________________


ZIP code  __ __ __ __ __ - __ __ __ __


Phone  ( ____ )  _________________


Email (if any; used only by GRPS)

_______________________ @ _________________________________



Mail completed application and check to:

Greater Rochester Perennial Society
 Barbara Stalker, Treasurer 
 31 Mapleton Drive 
 N. Chili, NY 14514 


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Form printed from RochesterGardening.com