Southwestern Indiana Daylily Society Membership Application

Southwestern Indiana Daylily Society Application Form

Please Fill out the form, see below for dues amounts.

Please give us some vital information.

Name #1

Name #2

Address

City,St Zip

Home Phone

Work Phone

e-mail

Occupation #1

Occupation #2

Birth date #1

Birth Date #2

Grow Daylilies Yes No

Sell Daylilies Yes No

Member AHS Yes No

Comments

Dues:

Single Membership - $12.00/yr.

Household Membership - $20.00/yr

Make check payable to Southwestern Indiana Daylily Society

Please print this form and mail with dues.

Send Dues to: SWIDS, P.O. Box 3254, Evansville, Indiana 47731-3254

Name #1
Name #2
Address
City,St	Zip
Home Phone
Work Phone
e-mail
Occupation #1
Occupation #2
Birth date #1
Birth Date #2
Grow Daylilies	Yes No
Sell Daylilies	Yes No
Member AHS	Yes No
Comments

Southwestern Indiana Daylily Society Inc., a 501 (c) (3) Not-For Profit Corporation