Please print out this page and mail it with
your membership cheque. Please print!
Name _________________________________________________________
Address 1 ________________________________________________________
Address 2 _________________________________________________________
City _________________________________________________________
State __________________________________________________________
Country ________________________ Zip/Post Code ________________________
Email address (must function for sending password) ____________________________________
Telephone: ______________________________________ Gardening Zone
________________
Please write a line or two on the reverse as to what your special interests
are, what articles you would like to see.
Circle Level of membership wanted: Platinum $1,000;
Gold $500; Founding $100; Supporting $80; Sustaining
$65;
General / Foreign / Student $24.95 Other amount $____________
I have enclosed a check for: $ _________________. Please make your
check out to: C. Cannon. Remember that it may be unsafe to send
cash. Payments from outside the USA should be in "US dollars payable on a
US bank", as bank charges to convert funds from other countries amount to
over $25.
Our mailing address:
Cannon
2011 Allen Street
Englewood, Florida
USA 34223-1720
Copyright © MMIV - Posted May 2004