Nanaimo Rhododendron Society Membership Application Form




Box 241, #101-5170 Dunster Rd., Nanaimo, BC V9T 6M4

Website:     email:


Cheques should be made payable to: The Nanaimo Rhododendron Society

Rates: Individual $40, family $45 ; associate (member of another chapter) $10, or $15(family), Student $10
this includes name tag & membership in the American Rhododendron Society.

Please print clearly


Name: _______________________________________________________________________


Phone: _________________________         Email: _____________________________________ ’


Address: ________________________________________________


City: ___________________________         Postal Code: ___________________

I/we apply to the board of the Nanaimo Rhododendron Society for membership.

Choose type of membership:

Individual____       Family____           Associate_____   Associate Family____           Student____


  • I agree to include my phone, address & email for the Society’s membership list


  • I agree that my email can be sent to the American Rhododendron Society


  • I consent to use of my (circle one only)   email, phone, address in the official club register.




_________________________          Date: _________________________


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