MEMBERSHIP APPLICATION

All information on this application will be for the Southern California Plumeria Society Inc. use only. It will not be sold or used for any other purpose!

Print this page, fill it out (print please!), and mail with check. (Dues and address below).

Date: ____________________________

Name________________________________________________________________________________

Dual Member (same household) ____________________________________________________________

Mailing Address ________________________________________________________________________

City ______________________________________________ State _______________________________

Zip ____________________ Country (if outside U.S.) ___________________________________________

Phone Number (_______) ________________________________________________________________

Email Address #1____________________________@___________________________________________
Email Address #2____________________________@___________________________________________

Do you have any interesting stories to share with our society? Please do so on back of this application. We are always looking for interesting pieces for our publication Plumeria World.

Dues are $25 per year, renewable the month you joined.

International membership is $40 US per year and includes air mail service.

Make checks payable to SCPS.

Mail to SCPS, P.O. Box 502063, San Diego, CA 92150-2063