Name: _________________________________________________________________________
Street Address:__________________________________________________________________
City, State, Zip:__________________________________________________________________
Home Phone: ________________________ Cell Phone: _______________________________
E-mail: _______________________________________________________________________
Important! If you are a member of the American Rose Society (ARS), then check here: ______.
If another member of your household is also an ARS member, please print his/her name below:
________________________ _____________________.
Dues paid now are covered until January 1, 2011. Membership runs from January 1st through Dec. 31st
and covers Single and/or Family (one or two persons in the same household).
2010 MEMBERSHIP DUES
Some of our members have found the Directory to be useful for them, while others never refer to it.
Please indicate your preference:
_____ I want a Membership Directory 
_____ I do not need a Membership Directory
$12.00 _____ E-mailed PDF newsletter in full color. (Be certain that your e-mail address is correct!)
$17.00 _____ Hard copy (black and white print) Rose Scents mailed via U.S. Postal Service.
$ ________ Additional tax-deductible contribution is appreciated.
$ ______ TOTAL ENCLOSED.
