Membership Application
Print Page, Fill Out, and Mail
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Quantity | Membership Type | Price | Line Total | |
---|---|---|---|---|
Standard (individual or joint) for 1 year | $45. each | = | ||
Standard (individual or joint) for 2 years | $75. each | = | ||
Standard (individual or joint) for 3 years | $105.each | = | ||
Sustaining for 1 year | $60. each | = | ||
Sponsoring for 1 year | $120. each | = | ||
Life | $600. each | = | ||
Total Amount | = |
Quantity | Membership Type | Price | Line Total | |
---|---|---|---|---|
Standard for 1 year | $60. each | = | ||
Sustaining for 1 year | $120. each | = | ||
Total Amount | = |
Your Name (list both names for joint membership ): ________________________________________________ |
Address (commercial/institutional members, list contact person):__________________________________________ |
_______________________________________________________________________________ |
City: __________________________ State: _____________ Postal Code:_____________ |
Country: ________________________________ E-mail:_______________________________ |
Home Phone: ________________ Office Phone:
_______________ Fax: ________________ |
Please fill out the following for gift memberships:
Your Name (list both names for joint membership ): ________________________________________________ |
Address (commercial/institutional members, list contact person):__________________________________________ |
_______________________________________________________________________________ |
City: __________________________ State: _______________ Postal Code: _____________ |
Country: ________________________________ E-mail:_______________________________ |
Home Phone: ________________ Office Phone:
_______________ Fax: ________________ |
Make checks payable (in U.S. funds or international
Money Order) to:
Holly Society of America,
Inc.
Print page, fill out, and send along with payment to:
Holly Society of America, Inc.
P.O. Box 803
Millville, NJ 08332-0803