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Russ O'Harra Hosta Society Membership Application

Membership dues are for a calendar year and are payable January 1st of each year.

Dues received after October 1st will be applied to the next calendar year.

 

New:_______ Renewal:_______

1 year - $10.00 :_______

3 years - $25.00 :_______

 

Name:______________________________________________

Address:____________________________________________

City:_______________________________________________

State:_______________Zip:___________________________

Home Phone:_________________________________________

Cell Phone:_________________________________________

E-mail:______________________________________________

 

I would like to receive the ROHS newsletter by

Mail:_______ Email:_______

 

Make all checks or money orders payable to “Russ O’Harra Hosta Society.

Mail completed form with remittance to:

   Russ O’Harra Hosta Society
  c/o David Dettmann
  122 Bluegill Court
  Pella, IA 50219

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