Application for Membership
I (we) wish to join the Georgia Perennial Plant Association.
Date: __________________________
Type of Application: ___ Renewal ___ New Membership
Check #: __________________________
Name: __________________________
Address: __________________________
City: __________________________
State: __________________________
9-digit Zip Code: __________________________
Home Phone with Area Code: __________________________
Work Phone with Area Code: __________________________
E-Mail: __________________________
Please indicate if we may send monthly
newsletters to your email address (check one):		 ___ Yes ___ No
Trade Name: __________________________
Check the type of membership below:  

__ Individual Membership $30
__ Dual Membership (2 adults at same residence) $35
__ Business (2 designated individuals from one business) $35
Number of Memberships: ___ at $____ per membership per yr.
 

For more details, contact any GPPA Board Member.
Dues are due annually between Oct 1 and March 31 for the calendar (Jan-Dec) year.

Please mail this completed form and your check to:

   GPPA
   P.O. Box 13425
   Atlanta, GA 30324-0425
   Attn: Membership