The Azalea Chapter of the American Rhododendron Society Membership Application

Memberships are on a calendar year basis and include chapter dues and the ARS Journal

Name_______________________________________	____Individual/Family $40
Address_____________________________________	____Commercial $90 ____Sustaining $75
City_____________________State___Zip__________	____Sponsoring $150
	____Life, Single $1000
Email Address:___________________________________	____Life, Family $1500 Phone No:______________

Check type of membership desired and send check to: Larry E. Adams, 1107 Wright Ave, NE, Atlanta, GA 30324