Your Name:
________________________________________________________________________
Spouse/Partner/Family Name(s):
_____________________________________________________
Address:
__________________________________________________________________________
City: _____________________________________ State: ________________ Zip:
_____________
Phone:
_______-_______-___________ Email:
__________________________________________
For RIDS membership, please select your membership
level below:
| Level |
Annual
Dues |
Amount
Due |
| Individual |
$7.00 |
$ __ __ .00 |
| Family |
$9.00 |
$ __ __ .00 |
| Junior |
$3.00 |
$ __ __ .00 |
| Donation |
|
$ __ __ .00 |
To also join the American Dahlia Society, please
select your membership level:
Level |
Annual Dues |
Amount Due |
Individual |
$20.00 |
$ __ __ .00 |
Family |
$23.00 |
$ __ __ .00 |
Junior |
$5.00 |
$ __ __ .00 |
Patron |
$50.00 |
$ __ __ .00 |
Contributing |
$100.00 |
$ __ __ .00 |
| Donation |
$ __ __ .00 |
Total Due (RIDS
+
ADS): |
$__ __ .00 |
Please total the RIDS & ADS amounts, and forward
your completed application and check (payable
to "RIDS") to: Bethany Additon/RIDS, 926
Centerville Road, Warwick,
RI
02886
Questions? Email Bethany at membership@RhodeIslandDahliaSociety.org
or call 401 - 828 - 9413.
{ Thank you for supporting your local & national dahlia societies!
{