RICHMOND AREA DAYLILY SOCIETY

Membership Application (or Renewal)_____   2010
Individual: $5.00
Family: $8.00 (covers 2 adults & 1 - 2 children under 18 years )
Date : ________________

Name(s) : ______________________________________

Address : _______________________________________

City : ___________________ State : ____ Zip : ________

Children's Name(s) : ____________________________

Phone :(____) _________________

E-Mail Address : ______________________________

Member(s) of AHS? _____________