Western Reserve Rose Society Membership Form

Western Reserve Rose Society

New Member and Returning Member Application Form

Single Membership and Couple Membership is free

Name    ___________________________________________________________

Address 1  __________________________________________________________

Address 2 _____________________________________________________________

City ___________________________________________________________________

State __________________________________________________________________

Zip/Postal Code ____________________________________________________________

Email  _____________________________________________________________________

Home Phone or Cell  ____________________________________________________________

Single/Couple? _______________________________________________________________

Amount Enclosed  ______________________________________________________________

Please print out the form

Fill it out where appropriate

enclose a personal check, cash or money order

and Bring to the Next Meeting.

We do not have the capability for Online Payment at this time.

We apologize for any inconvenience

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