Complete
form, print and mail to CNPS at 2707 K Street, Suite 1, Sacramento, CA 95816-5113,
or fax to 916-447-2727
* Name:
* Address1:
Address2:
* City:
* State:
* Zip Code:
Telephone
(work):
Telephone
(home):
Email
Address:
Local
Chapter:
* Indicates required information.
new
membership
renewal
Membership
Category
Individual - $45
Family, Group or Library - $75
Plant Lover - $100
Patron - $300
Benefactor - $600
Mariposa Lily - $1,500
Student or Limited Income - $25
Payment
Information
Check enclosed in the amount of: $
Please charge my credit card for: $
VISA
MASTER
CARD
Expires:
/
Card
number:
Signature:
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