Palm Beach Palm and Cycad Society

Membership Application

 

Please select one of the following options:

New Membership Membership Renewal

1 Year - $20.00 (Foreign Addresses Please Add $10.00)

2 Years - $40.00 (Foreign Addresses Please Add $10.00)

3 Years - $60.00 (Foreign Addresses Please Add $10.00)

Change of Address

Please fill in the following fields with your information:

Name(s):

Business (optional):

Address #1:

Address #2:

City:

State/Province:

Zip/Postal Code:

Country:

Email Address:

Phone:

Website (optional):

Include me in the Membership Roster: Yes No (Unless checked, you will be included in the roster)

 

Please make your check or money order payable in US dollars to: PBPCS

Please print this form and send it along with your payment (please, no cash) to:

Palm Beach Palm and Cycad Society

P.O.Box 212228

Royal Palm Beach, FL 33421-2228