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Enrollment Form
Name:
________________________________________________________
Address:
______________________________________________________
City:
_______________________________ State:
_______ Zip: __________
Phone:
___________________________
E-mail:_______________________
* Membership
in Delaware Valley Iris Society only * $10.00
single or dual* annual
(Make
check payable to DVIS)
____________________ or
______________________
* Membership
in American Iris Society with free
membership in Delaware Valley Iris
Society
* $25.00
single annual * $60.00
single triennial
* $30.00 dual* annual * $75.00
dual* triennial
(Make
check payable to AIS)
*
"dual" refers to two members at same address
Mail to: Ron Thoman, Secretary
- DVIS
1010 Wiggins Way
West Chester, PA 19380
Questions: (610) 719-6081 or secretary@dvis-ais.org
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