Dues
Payment
I
will pay online $20 for one year
I
will pay online $10 for one year
student
I
will pay online $200 for lifetime
Title
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Mr.
Mrs.
Ms.
Dr.
Last Name
First
Name
Middle
Initial
Preferred
Name
Spouse
Name
Street
address
Address line 2
City
State
Zip code
Home
Phone
Work
Phone
Cell
Phone
FAX
#
Your E-mail
Other
Daffodil Society Memberships?
Gardening
Credentials? (NGC Inc./ADS
Judge/Instructor, Master Gardener ,
Etc.)
How did you
hear
about us?
Please Select One
American
Daffodil Society Website
TDS
booth at a show
Newsletter
Friend /
Word of Mouth (see below)
Internet
Search Engine
Another Website
Other
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by Name?
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a message
if you wish