Application for Membership

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• Dues are $15.00 per person/couple for a calendar year. $15.00 dues entitles one person to select plants at Plant Exchange. If a couple both desire to select plants at Exchange, send $25.00.
   
• Make checks payable to PVCNARGS and mail to:
  
  Margot Ellis, Treasurer
  PVCNARGS
  2417 N. Taylor St.
  Arlington, VA 22207

Name(s):	__________________________________________________
Street Address:	__________________________________________________
City, State, Zip:	__________________________________________________
Telephone:	Home:____________________Work:____________________
E-mail address:	__________________________________________________ Please ensure that your email address is legible and exact.
Referred by:	__________________________________________________ (Current Member)
I/we are members of the following gardening societies (local or national):
______________________________________________________________________ ______________________________________________________________________
Please choose a committee on which you will serve. We are an all volunteer organization and we depend on the active involvement of our membership to achieve our goals.

For use by Potomac Valley Chapter, NARGS, only