CALIFORNIA GOURD SOCIETY MEMBERSHIP APPLICATION

 (Please note when you pay multiple years at a time you will still get receive your coupons and membership card once each year during your renewal quarter).

NEW MEMBER _______ RENEWAL ______

Name : ________________________________________________________________________________________________

Mailing Address: ____________________________________________________________________________________

City: ________________________________________________________State: _________ Zip: ___________________

Phone: (_____________)________________________________________________________________________________

Email: ________________________________________________________________________________________________

PREFERRED METHOD OF NEWSLETTER DELIVERY:

(Color) EMAIL_______ or (B & W) SNAIL MAIL _________

Annual dues: $20. Please make check payable to California Gourd Society (CGS) and

mail to:

California Gourd Society

JoAnn Clark
PO Box 2802
Valley Center, CA 92082
760-749-9410
b4gourds@yahoo.com