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