| Name |
|
| |
|
| Address |
|
| |
|
| |
|
| |
|
| Phone |
(home and/or work as you prefer) |
| |
|
| |
|
| E-mail |
|
Membership is $15 per calendar year. Make checks payable to
MICHIGAN ORCHID SOCIETY
Print this form and send to: Gail Lift
MOS Membership Chairperson
2905 Whittier Ct. E.
Ann Arbor , MI 48104
|