First Name:

Last Name:

Address:

City:

State:

Zip Code:

Phone Number:

E-Mail:

My Interests Are:
Improving my own garden

My Gardening Interests are:
Flower
Fruit
Organic
Vegetable
Composting
Other:

Club Projects that interest me: (please check all that interest you)
City Beautification: Gardens, Adopt-a-Spot (planting & weeding)
Maintenance of the Greenhouse, Gardens, etc.
Growing plants for fun and profit (Propagation)
Garden Walk
Moonlight Parade
Education: teaching members, our schools and/or a class
Community Service
Other: