GEG Membership Application

Name:  ___________________________________________________________________

Mailing Address:  ___________________________________________________________

Home Address (if different):  __________________________________________________

Phone:  (___) ___ - ____  E-Mail:  ______________________________________________

Gardening Interests:

GEG Features Most Likely To Be Of Interest:

Expertise, Equipment, Or Interests To Share With GEG:

Other Relevant Information About Your Gardening Interests:

(e.g., where do you garden, how long you have been there, how many years have you been gardening, and any special interests)

________________________________________________________________

________________________________________________________________

________________________________________________________________

Signature:  ____________________________________________________

Date:  ___________________

along with a check for $10.00 (annual individual/family membership)

If you have any questions, pelase contact our New Member Coordinator at .

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