MEMBERSHIP FORM (print)

Name

Address

Phone number                                              E-mail address____________________

                              Would you like to receive e-mail  notification of upcoming events? Yes____           No____

Membership Category:
Individual          $50.00____________
Household        $75.00____________
Business           $100.00___________
Student            $25.00____________
Patron              $200.00___________
Organization    $100.00___________
Benefactor       $500.00___________

A Gift membeship from(your name)__________________________________________

to: (Name)_____________________________________________________________

Address______________________________________________________________
             ______________________________________________________________

Phone_____________________________E-Mail________________________

Donation  $ ______________You don't need to be a member in order to support the Society.
We are a 501-c-3 non-profit organization. Donations are tax deductible to the fullest extent allowed by law

Print and complete this application, enclose check
payable to The Horticultural Society of Maryland, Inc.
Mail to   Horticultural Society of Maryland,
               P.O Box 4213
               Lutherville, MD21094-4214