TEXAS GOURD SOCIETY, INC.
ANNUAL MEMBERSHIP FORM

Membership renewal dues of $12 are payable on January 1 of each year and shall be effective for one calendar year (January 1 – December 31).

New members only joining in mid-year may pay pro-rated dues for the year in which they join at $1.00 per remaining month.  Example:  June - $7.00; December - $1.00.)

It is suggested that if a new member joins in September through December, that payment should include the next year's dues.  (Example:  October - $3.00 plus $12.00 = $15.00.)


Name: ________________________________________________________________

 
Mailing Address: ________________________________________________________

 
City: _____________________________  State: _____________  Zip: _____________

 
Phone Number:  ( ___ ___ ___  ) ___ ___ ___  -  ___ ___ ___ ___

 
E-mail: ____________________________________________________

 
Membership: (check one)


____  New
JAN = $12
FEB = $11
MARCH = $10
APRIL = $9
MAY = $8
JUNE = $7
JULY = $6
AUG = $5
SEPT = $4
OCT = $3
NOV = $2
DEC = $1
If joining in Oct, Nov or Dec, please include an additional $12 for the subsequent year

____  Renewal
$12.00 per year, payable on January 1 of each year

Amount enclosed:    $_______ TGS membership only

Please mail payment and completed form to:
TEXAS GOURD SOCIETY, INC.
9830 Shadydale Lane, Dallas, TX 75238
Make checks payable to: TEXAS GOURD SOCIETY, INC.

You may also mail payment of $15 for AGS dues to:
AMERICAN GOURD SOCIETY, INC., P.O. BOX 2186, KOKOMO, IN 46904-2186
Make checks payable to: AMERICAN GOURD SOCIETY, INC.
 
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