Please print and fill out. Mail and make $12 check payable to:
Pennsylvania Gourd Society, PO Box 60714 Harrisburg, PA 17106-0714
Date__________________________ (memberships run from January 1 to December
31)
Please check: renewal___________ new
membership________________
Name______________________________________________________
Street______________________________________________________
City_____________________________State_______Zip_____________
Phone_________________________Email_________________________
May we contact you via email? yes_________no__________
We do not share any contact information with any other organization or company. We do however provide members with a directory when requested but only for PA Gourd Society related use. We do not allow the directory to be used for commercial use.