Tulsa Rose Society

2018 Membership form


Application for Membership/Renewal
 

 Last Name____________________________________ First Name_________________________________

Spouse or Household Member's Name_______________________________________________________

 Address_________________________________________________________________________________

 City_______________________________________________  State _________  Zip __________________

 Home Phone: ____________________ Bus. Phone: ________________  Cell Phone: _________________

 Other Interests or Hobbies: ________________________________________________________________

 Email: ________________________________________________     Renewal  (    )      New Member (   )

 Would you like to receive our newsletter electronically?  (    ) No    (    ) Yes    (Email address required.)   

Are you a member of the  American Rose Society?         (    ) No    (    ) Yes   

Tulsa Rose Society Membership:

            Membership dues are $20.00                                                                                $ ___________ 

            Would you like your Roster mailed to you?   $1.50 for postage and handling       $ ___________

South Central District Membership:

            Newsletter only (Quarterly)  $5.00  (Electronic only)  Email required

Patron Supporter includes newsletter  Family  $40.00  Individual $25.00              $ ___________ 

Donation to Tulsa Rose Society Trophy Fund                                                                     $ ____________  
 

                                                Total Membership Fees &  Donations                                  $ ____________

 Please make check payable to:   Tulsa Rose Society     and mail with this application to:   
Judith Carter, 1825 W Lincoln St, Broken Arrow, OK  74012

Tulsa Rose Society Dues are based upon the calendar year and due January 1st each year.  Members joining after June 30th only pay 50% of the regular dues amount.  Members paying by February 1, 2018 will be included in the 2016 Membership Roster.