Portland Dahlia Society
Application for Membership
Annual Dues: Single or couple at same address $10.00. Junior members $1.00 each.
Juniors, aged 8-16 must be sponsored by an adult member
Please check those that apply:
Single Member____ Couple Same Address______ Junior_____ Junior___
Date:________________ Telephone: (___)___________________________
Name(s):________________________________________________________
Junior Sponsored by:____________________________________________
Address:______________________________________________________
City:______________________ State:_____________Zip:______________
If you would like the monthly bulletin sent to you via email, please enter your email address
here:____________________________ If you want both email and postal delivery check here ____
Make check payable to Portland Dahlia Society
Send application to:
Portland Dahlia Society
c/o Larry Sawyer
11015 SW Berkshire St.
Portland, Oregon 97225-4407
Or you can join by attending our monthly meeting.