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 

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