Membership Form Print

To join our club simply print this form, complete and mail with check or money order to:

 Long Beach Cactus Club

c/o:John Luhnow  3340 W.152nd St. Gardena, CA.90249

 

 

LONG BEACH CACTUS CLUB MEMBERSHIP APPLICATION


 

LONG BEACH CACTUS CLUB MEMBERSHIP APPLICATION


2010 DUES INFORMATION-ONE YEAR


Regular membership $15.00

Senior Membership (retired person, age 65 or older) $10.00

Associate (same household) $ 2.50


Please make out checks to LBCC (Long Beach Cactus Club) and give or send them to the treasurer:


John Luhnow, 3340 W.152nd St.  Gardena , CA 90249

 

 

NEW MEMBER :_____ RENEWAL :_____ TOTAL ENCLOSED: $____.___ Date: _________


NAME:_______________________________________________________________________________________


ASSOCIATE MEMBER (S):______________________________________________________________________


ADDRESS:________________________________________________________________APT:-_______________


CITY:_________________________ STATE:____ ZIP CODE:________HOME PHONE:(____) _____-________


CELL PHONE: (____)___-_____ E-MAIL:_____________________________________________________


BIRTHDAY MONTH:____________ FAVORITE CACTI OR SUCCULENT:____________________________



 
 

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