Your Name:
_________________________________________________________________________
Spouse/Partner/Family Name(s):
______________________________________________________
Address:
___________________________________________________________________________
City: _____________________________________ State: _________________ Zip:
_____________
Phone:
________-________-____________ Email:
_________________________________________
For RIDS membership, please select your membership
level below:
| Level |
Annual
Dues |
Amount
Due |
| Individual |
$7.00 |
$ __ __ .00 |
| Family |
$9.00 |
$ __ __ .00 |
| Junior |
$3.00 |
$ __ __ .00 |
| Donation |
|
$ __ __ .00 |
To also join the American Dahlia Society, please
select your membership level:
Level |
Annual Dues |
Amount Due |
Individual |
$20.00 |
$ __ __ .00 |
Family |
$23.00 |
$ __ __ .00 |
Junior |
$5.00 |
$ __ __ .00 |
Patron |
$50.00 |
$ __ __ .00 |
Contributing |
$100.00 |
$ __ __ .00 |
| Donation |
$ __ __ .00 |
Total Due (RIDS
+
ADS): |
$__ __ .00 |
Please total the RIDS & ADS amounts, and forward
your completed application and check (payable
to "RIDS") to: Abbie Barber,
RIDS, P.O. Box 86, Shannock
RI
02875-0086
Questions? Email Abbie at membership@RhodeIslandDahliaSociety.org
or call her at 401 - 932 - 6973.
{ Thank you for supporting your local & national dahlia societies!
{