2012 MEMBERSHIP APPLICATION

Enjoy our monthly meetings, special events, Rose Rambler newsletter, and the company of fellow rosarians. Our meetings are held at Medford Leas, One Medford Leas Way, Medford NJ 08055 (www.medfordleas.org) on the third Wednesday (except July and January) starting at 7:30 PM

Date of Application ___________________________________

Name _____________________________________________

Address ____________________________________________

City, State, Zip ______________________________________

Phone(______)_______________________________________

Are you a member of the ARS? __________________________

   ARS membership #___________________ Exp. Date _______________

E-mail (Optional, for internal use only)_______________________

Yearly Membership - $20 (family and individuals)

 Please make check payable to: West Jersey Rose Society

Mail to our Membership Committee Chair:

Iliana Okum
8 Bennington Rd
Bordentown, NJ 08505
609-298-4160