Membership Application – GCRS - 2005

Mr. Mrs. Ms. Dr. _________________________________________Date:______________

Please Print First and Last name

____________________________________ Phone: Home ______ Work _____________

List Spouse and other family members

Address: ________________________________________________________________

City, State, Zip: ____________________________________________________________

E-Mail Address: ___________________________________________________________

Renewal___ New Member ___ Gift Membership ___

Member of American Rose Society? Yes No How many years____ Number of roses grown: ____

Occupation ________________________ Hobbies (other than roses) ________________________

Do you want to receive The Rambling Rose via e-mail? Note it often has color photos Yes No

Dues are $15.00 per calendar year (single or family at same address). Make checks payable to Greater Columbia Rose Society and send to

David Durham

449 Annondale Road

Columbia, SC 29212

Please indicate in order of your preference (1,2 & 3) which committee you would most enjoy:

___Hospital Rose Garden ___Garden Tour

___ Membership ___Telephone

___Newsletter ___Refreshments

___ Rose Show ___Education

Your comments and program suggestions are welcome. Use the back of this form or enclose a note with your remarks.