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Affiliate Member of the
American Rose Society
DALLAS ROSE SOCIETY - DALLAS, TEXAS
Application for Membership / Renewal – 2009
Please check one: New Membership [ ] Renewal [ ]
First Name:_____________________________Last Name:_____________________________
Associate Members (same household, free):__________________________________________
Address:______________________________________________________________________
City:________________________________________________State: _______ Zip:__________
Home #: ______ ________ __________ Business #: _______ _______ ___________
E-Mail:_______________________________________________________________________
Dallas Rose Society Membership: $20.00 per year $______________
South Central District Membership: $ 5.00 per year $_______________
Are you a member of the
AMERICAN ROSE SOCIETY ?
YES [ ] NO [ ]
The Dallas Rose Society will also accept your membership for the ARS:
American Rose Society Membership: $49.00 per year $_____________
American Rose Society Joint Membership: $62.00 per year $_____________
American Rose Society Senior Membership Discounts
American Rose Society Senior Membership: $46.00 per year $______________
American Rose Society Senior Joint Membership: $59.00 per year $ ______________
Please make check payable to: Dallas Rose Society
Ilene Cook, DRS Membership
2100 Alto Avenue
Carrollton, TX 75007
