MEMBERSHIP FORM

Please print this page, fill out the form, and mail it in with your check

ANNUAL MEMBERSHIP

The San Mateo Arboretum Society is supported by member-ship dues and donations which are tax deductible.  Members receive a discount on all greenhouse/plant purchases,

Please Check:

$

___  25.00 Individual

___  35.00 Couple

___  20.00 Senior Citizen (Age 65)/Student

___  30.00 Senior Couple

___  50.00 Sponsor

___  100.00 Patron

___  500.00 Life Member

___  30.00 Garden Club

___________  Additional Donation

___  I am interested in becoming a volunteer. 

Please circle preferred title(s): Mr. Mrs. Ms. Miss

Name(s):_______________________________________

              Last                              First

Address:_______________________________________

City:______________________State_______Zip______

Telephone#_______________________________

Mail Newsletter to the above address?  Yes___ No___

To be added to the E-Mail mailing list and receive the newsletter, notices of Arboretum events and updates to the web site, enter your e-mail address below.

E-Mail address________________________________

Amount Enclosed________________________________

Make checks payable to: San Mateo Arboretum Society (SMAS is OK)

101 Ninth Avenue, SAn Mateo CA 94401

Telephone/Facsimile # (650) 579-0536