White Pine Chapter, Michigan Botanical Club
 Please
print out this form and mail to the address at the bottom.
Name________________________________________________________
Address
______________________________________________________
City_______________________
State___________________________
Zip code or postal code _______________________
COUNTRY _______________________
Office Phone__________________
Home Phone ____________________
email_____________________________
Do you wish to have this information published in our membership
directory?
_____yes ______ no
Yearly Dues are:
$25.00 (U.S. funds)
for one person
$28.00 (U.S. funds) for two people
Please make check payable to: Michigan Botanical Club- White Pine
Chapter
Send this form with check to:
Beatrice Sibley
7951 Walnut
Newaygo, MI 49337-9205
[ Home ] [ Up ] [ WPC Membership ] [ WPC Officers ] [ WPC Archive ]
| 
