DALLAS ROSE SOCIETY - DALLAS, TEXAS
Application for Membership / Renewal 2010
Please check one: New Membership [ ___ ] Renewal [ ___ ]
First Name:___________________ Last Name:_____________________
Associate Members (same household, free):_________________________
Address:____________________________________________________
City:______________________________ State: ______ Zip:__________
Home #: ____ - _____ - _______ Business #: ____ - _____ - _______
EMail:_____________________________________________________
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