ESGC Membership

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JOIN EUREKA SEQUOIA GARDEN CLUB!
(Just print this form, fill it out and mail to address at bottom with your dues.)
GARDENING YEAR
JULY 1, 2018 to JUNE 30, 2019
MEMBERSHIP DUES: $25.00 PER INDIVIDUAL $35.00 PER HOUSEHOLD
(Bylaws Article III, Section 2)
Note: Deadline for information to appear in the ESGC yearbook is 6/01/19
NAME (s)_________________________________________________________________
STREET ADDRESS_________________________________________________________
EMAIL ADDRESS__________________________________________________________
ADDITIONAL EMAIL ADDRESS_____________________________________________
HOME PHONE ( ) ___________________
CELL PHONE ( ) ___________________
WORK PHONE ( ) ___________________
Please indicate both your telephone and mail contact preferences below:
I prefer to receive the ESGC Newsletter and other correspondence by:
US Mail_______ E-Mail______
I prefer to be contacted at my phone indicated below:
Cell______ Home_______ Work______
PLEASE SHARE ANY SPECIAL GARDENING INTERESTS/PASSIONS THAT YOU ENJOY:
Make checks payable to Eureka Sequoia Garden Club, Inc.
Return form and payment to Karen Burgesser, Treasurer 2017 Haeger Ave. Arcata, CA 95521
Office use only:
Date Received: _____________________ Amount: _____________________
Cash: __________ Check: __________ Number: ___________