African Violet Society of Oklahoma City
Application for Membership
___ Individual Membership ___Joint
Membership (2)
$20.00/yr.
$30.00/yr.
Name______________________________________________________
Address____________________________________________________
____________________________________________________
City_______________________________________________________
State_________________ Zip Code_____________________________
Phone_____________________________________________________
Email______________________________________________________
Do you want to be contacted by email? ___Yes
___No
Are you a member of AVSA? ___Yes
___No
I agree to the terms of membership, including the payment
of dues annually and regular attendance at meetings.
________________________________________ _________________
Signature Date
Mail to:
AVS of OKC
Debbie Yeager, Sec.
217 W. Strasburg Way
Mustang, OK 73064