BURLINGTON AREA GARDEN CLUB

MEMBERSHIP FORM

DATE:_________________

NAME:_______________________________________________

ADDRESS:____________________________________________

____________________________________________________

TELEPHONE:_________________   CELL:__________________

EMAIL:______________________________________________

Our newsletter, The Spade, can be mailed or forwarded via email, please indicate choice.   MAIL_____ EMAIL_____

Membership Dues are $20.00 per year.

Each new member receives a $10.00 Gift Certificate to Burlington Garden Center.

Club Motto

“Communicate, Educate, Cultivate, and Enjoy”

Please forward completed form to:

Alice Preiser, Treasurer

N6387 Long Meadow Drive

Elkhorn, WI  53121