Species Lily Group Membership Form
Member Identification Information:
Name
Street address
City
State/Province
Zip/Postal Code
Country
Telephone
E-mail address
May we have your permission to include in a membership list your:
Yes
No
Name and address
Telephone Number
Email Address
Would you be willing to open your garden to other members?
1 Yr. Membership : $12.00 in US
or Canadian funds
3 Yr. Membership : $34.00 in US or Canadian funds.
Amount enclosed
$
Membership is from January 1 through December 31
Print this form, fill it out, and mail it with your payment to this address:
Species Lily Preservation Group
June Taylor
3286 Fourth Street, Biggs, CA 95917-9760