Join AVSR
| Rochester, New York Membership Application Mail to: |
| African Violet Society of Rochester |
| c/o Irwin Wagman |
| 52 Harper Drive |
| Pittsford, NY 14534 |
Please enroll me as a member of the African Violet Society of Rochester.
Name _______________________________________
Address _____________________________________
City _____________, State ________ ZIP __________
Phone Number ________________________________
e-mail address ________________________________
| Membership (US Funds) |
| Individual $5.00/year |
| Family $10.00/year |
| Make checks payable to: |
| AVSR |
| Date: _________ Enclosed: ______________ |