AMERICAN GOURD SOCIETY, INC
P.O. Box 2186
KOKOMO, INDIANA 46904-2186
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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; Dues (Outside U. S.): $22.00 one year
Mail Dues to above address