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Complete and send this form with dues to the
Membership Vice President (see below).
Date________________
First/Last Names_________________________________
Address________________________________________
City/State/Zip____________________________________
Home Phone______________ Office Phone____________
Email Address___________________________________
Additional members of same household included in this membership:
Name______________________ Relation____________
Name______________________ Relation____________
Provide dates of birth for youth members less than 19 years old.
Make check or money order payable to Fort Worth Iris Society and mail
to:
Mary Jane Goad
4701 Catalina Court
N. Richland Hills, TX 76180
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