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AMERICAN GOURD SOCIETY, INC P.O. Box 2186 KOKOMO, INDIANA 46904-2186 |
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| New____ Renewal____ Date___________ | ||
Please Print:
NAME _________________________________________________________________
STREET ________________________________________________________________
STREET 2 _______________________________________________________________
STREET 3 _______________________________________________________________
CITY___________________________________________________________________
STATE __________________ ZIP ________________COUNTRY___________________
Email:__________________________________________________________
***SNOWBIRDS -- more than one address??? -- please read
PHONE (________) _________ - ________________
COUNTY___________________________________
Your membership information will
only be used for official AGS business.
Dues ( U. S.): $15.00
one year; $30.00 two years;
$40.00 three years
Dues (Outside U. S.):
$22.00 one year; $44.00
two years; $60.00 three
years
Dues for the AGS are
$15 per year, no matter when you join. Your membership will expire the
following January. We will mail you back issues of The Gourd for
the year in which you joined.
IF YOU JOIN IN NOVEMBER OR DECEMBER, YOUR MEMBERSHIP WILL START NEXT JANUARY.
Mail Dues to above address