Membership Form
Checks should be made out to Arizona Gourd Society
NAME ________________________________________________________________________________
ADDRESS ________________________________________________________________________________
CITY ___________________________________________ STATE __________ ZIP_______________
PHONE (Home or Cell) _____________________________
FAX________________________________________ E-MAIL:_____________________________
I am a member of _________________________________________________________________ Patch(es)
Are you a member of the American Gourd Society?
Mail completed form and dues of $10.00 ($13.00 for foreign and Canada) to:







Arizona Gourd Society (AZGS)