The Garden Clubs of Mississippi, Inc



The Garden Clubs of Mississippi, Inc. CLUB MEMBERSHIP FORM – 2020-2021

Please read instructions on bottom of page. Number and alphabetize names.

Name of Club_________________________________ District_______________________

Club Location (CITY and ZIP)_________________________________________________

Club Treasurer’s name and telephone no.________________________________________

Club Treasurer email address___________________________________________________

Club Member_(Print or Type)________________________Mailing address and zip code___

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TYPE OR PRINT ALL INFORMATION. List last year’s roster with new members added. Indicate (1) by new members, (2) by deleted members from last year, and (3) by any name or address change. There is no charge for deleting members or adding new members, and $1 for changes. If additional sheets are needed, please copy and complete top of each. Retain ONE (1) copy and MAIL THREE (3) COPIES OF ROSTER along with dues to Ann Godwin, 2730 Northplace Dr., Tupelo, MS 38804. Dues are payable JUNE 1 and delinquent by JULY 1. Complete the Tally Sheet below on the first page on your roster only. Any questions, call me 662-842-3505. NUMBER each line used.

Number Amount Number of new members __________X 10.00 __________

Number of remaining members __________X 10.00 __________

Number of address/name changes @ $1.00 each __________ X 1.00 ___________ TOTAL MEMBERS _________ @ $10.00 EACH + CHANGES = _____________

TOTAL AMOUNT SENT $_______________

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