On a smart/cell phone NEXT moves the cursor to the next box. On a desktop PC you can use the TAB key to move from box to box. Shift-Tab moves the cursor to the previous box. An * means an entry or choice is required. Provide us with some information about yourself * Membership application for: Choose one: Renewal New * First & Last Name: Name #2, if a Family membership: * Do you want your birthday to appear in the Newsletter?Choose one: Yes No If yes, enter the birth month and day of the primary member: Phone or mobile number: * An email address is required for you to receive the newsletter and other notices. Enter it here: * Do you want your email address added to our Membership Roster?Choose one: Yes No * Are you a member of the American Rose Society (ARS) and do you receive their monthly magazine? Choose one: Yes No A program topic of particular interest to me would be: You have characters left. Can you recommend an interesting speaker? You have characters left. * Are you interested in going on field trips? Choose one: Yes No Want to participate? Serve on a committee! The Temecula Valley Rose Society is dedicated to encouraging the appreciation, study and culture of roses within the membership and within the community. With this community spirit of voluntarism in mind, I am willing to serve on one or more of the following committee(s). Go here to see the list of committees and their duties. Check all that interest you. Check again to uncheck. Audit Beautification Budget By-Laws Communications Community Outreach Garden Workshops Hospitality Historian Club Librarian Membership Programs Publicity Rose Haven Garden Telephone Ways & Means Youth Gardening Rose & Art Festival Do you have any comments or ideas? You have characters left. Complete your application * Please choose one: Single Membership $25 ** Family Membership $30 ** Lifetime Membership $250 ** ** Includes our monthly newsletter on the Internet at TemeculaValleyRoseSociety.org For NEW members add $10.00 for each member for a required one-time name badge. Enter a nickname or first name and/or last name you want on your badge(s): Note: Members joining after June 30 shall pay one-half the Single and Family membership dues for that year. After November 1st full dues will cover the next full year. If a NEW member remember to add $10.00 for each badge. * Total amount enclosed: $ * Check number: * Check date: One last step Mail*** your completed application with your check (no cash!) to: Membership Chair Temecula Valley Rose Society P.O. Box 890367 Temecula, CA 92589-0367 *** Applications may be handed in at the monthly meeting. Your canceled check is your receipt.