Please complete the form below and send it with your payment to:

The Canadian Rose Society

P.O. Box 41262,

4141 Dixie Road, Mississauga, ON L4W 5CW

 

New		Renewing
Type of Membership	$	Type of  Membership	$
Donation		Donation
gift membership		gift membership
TOTAL	$	TOTAL	$

MAKE YOUR PAYMENT TO THE CANADIAN ROSE SOCIETY

 

 

name:_________________________________________

 

address:_______________________________________

 

                  ________________________________________

 

city:__________________________________________

 

prov:________________

 

postal code:_________________

 

telephone:________________fax:_________________

 

Email Address:___________________________________

 

for new members only – please complete questionnaire [ √ ]

 how did you hear about the canadian rose society?

Friends		Other Rose Societies
internet		other
shows

 

MEMBERSHIP APPLICATION/RENEWAL

 

 

 

Renewing your membership early helps the society to avoid expensive reminder notices.

 

Also, What a great gift for a friend or loved one!

Simply complete the “Gift Membership” form and include the fee in your total payment.

 

membership fees

 

regular	$	30.00
family	$	35.00
affiliate society	$	35.00
nurseries & institues	$	35.00
u.s. membership	us$	35.00
foreign membership	us$	50.00
Sustaining(non-active)member’s  donation	$

 

A charitable donation receipt for income tax

purposes will be sent for donations of $10.00

or  more above the membership fee.

 

gift membership

i would like to give an annual crs membership to:

 

NAME:_____________________________________

 

ADDRESS:________________________________________

 

CITY:_______________________________

 

PROV________

 

POSTAL CODE______________

 

TELEPHONE_______________

 

EMAIL_____________________________________________