Online membership application Type of Membership (Note: double both must reside at same address) * SingleDouble Last Name * Last Name (Member 2) First Name * First Name (Member 2) Occupation/Employer * Occupation/Employer (Member 2) Work Phone Number Work Phone Number (Member 2) Work Fax Number Work Fax Number (Member 2) Cell Phone Number Cell Phone Number (Member 2) Email Address Email Address (Member 2) Would you like to receive your newsletter via email? * Yes No Would you like to receive your newsletter via email? (Member 2) Yes No Home Phone Number * Secondary Phone Number Home Fax Street Address 1 * Street Address 2 City * State * ZIP * How will you be paying your membership? * Online using PayPal (use “Subscription” button on the Member page) Mailing check (use address found on About page) Other–explain using Additional Comments box at end of form Note: membership is not complete until payment of dues have been received. Date * Amount Paid * Cash or Check # Year became interested in water gardening. I (we) became aware of the WGSGKC through the: A Flower, Lawn & Garden Show* A Home Show* Attending a meeting WGSGKC member* Public Water Garden Tour WGSGKC web page Store* Facebook Other* *Please give additional details (which show, what member, what store, etc.) Do you have any ponds, how many, what size? Do you have any water plants, what types do you have? Do you have any fish, what types do you have? What special talent or expertise can you offer? What are your other interests? What can you do for the society? What programs do you wish the society to present? Additional Comments Tour Options: List my garden on the Public Tour List my garden on Member Tours I wish to be involved in the following activities. Please check all that apply. Help with the building of show displays. Help at the show displays. Contribute plants to member Plant Exchange Garden railroading Help on Committees Present a relevant program at meeting Help with phone calling Help with refreshments Greenhouse space available for club use Write articles for Reflections (newsletter) Help with mailings Help with web page Help during Public Tour at someone’s yard checking people in, etc. Help on Community Service projects. (design, digging, constructing, planting, etc.) reCAPTCHA If you are human, leave this field blank.
