Please print and mail completed application with payment to:
Camellia Society of the Potomac Valley
Kathleen Graham
8906 Beauchamp Dr.
Alexandria, VA 22309
| Your name: | ______________________________________________ | |
|---|---|---|
| Address: | ______________________________________________ | |
| ______________________________________________ | ||
| Telephone: | ___________________________ | |
| EMail: | ___________________________ | |
| Amount: | $__________ Annual dues are $10.00 for regular membership, $15.00 for sustaining memberships. Checks only, no cash or credit cards. |