Membership Form

Welcome to the Orchid Society of Coral Gables

Your Full Name*

Today's Date*

Your Address*

City

Zip Code

Phone Number (Mobile)*

Phone Number (Other)

Your Email*

Birthday (month/day)*

Business or Work Name*

Occupation

American Orchid Society Member?*

Expiration Date

I would like to become involved and assist with the following: (Please check at least one below or for 'other' write your answer in this space)

I would like to become involved and assist with the following: (Please check at least one below)*

Phone Committee

Refreshments

Newsletter

Orchid Shows (2 per year)

Public Relations

Auction

Welcoming Committee

Membership Committee

Library

Other (please write in space above)

Do you consider yourself a beginning, intermediate or advanced orchid grower?*

Have you taken any orchid culture classes?*

Single or Couple Membership?*

Do you have any feedback on club programs from this year or any ideas for programs you would like to have for next year?

(Dues are: $30 single membership / $50 couple / per year - same household you will be sent a bill or you can pay at the next Orchid Society Meeting)

Mail to: OSCG, PO Box 560092, Miami, FL 33256-0092