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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