APPLICATION FORM   Please join us and gather in the garden

Annual membership dues are $25 which includes a subscription to “Garden Glories.”

NAME______________________________________________________________

ADDRESS___________________________________________________________

CITY_________________________                STATE______             ZIP__________

BIRTHDAY (Month and Day)_____________________________________________

Home Phone ___________________________ Cell/Work Phone________________

Email________________________________________________________________

______________________________________________________________________

Please print this form and return with your membership dues (check payable to “Tri-Village Garden Club”) to:

Kathleen Eddy

35 Garfield Lane

Streamwood, IL