APPLICATION FOR MEMBERSHIP

PIONEER VALLEY WATER GARDEN & KOI CLUB

 

 

Dues are $25.00 per FAMILY MEMBERSHIP annually.
 

 

Dues must be received by April 15, 2013 in order for you to receive your 2013 Pond Tour Ticket.
 

Please fill out this form completely, print, & mail to the below address.

   Thank you for updating your information.

 

DATE:         

NAMES:     

ADDRESS: 

CITY:               STATE:         ZIP:  

PHONE:            E-MAIL:  

 

We have decided to make the membership list available to our members so they can contact one another.  If you do not want your name, address, phone, or e-mail on the list please check the following box: 

 

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*** We are looking to the future & seeking volunteers ***

  If you are interested in getting more involved, please call any one of the officers.

 

 

Please make your check payable to:  The Pioneer Valley Water Garden & Koi Club

and mail with completed form to:

 

Wendy Lafond

89 Washington Street

Chicopee, MA 01020

 

mailto:wendidarlin@aol.com