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Membership Application
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| Name | ____________________________________ |
| Address | ____________________________________ |
| City | ____________________________________ |
| State | ___________________ Zip _____________ |
| ____ | I am interested in becoming a member of Woman's National Farm and Garden Association. |
| ____ | I am interested in participating as an active member of the Association. |
| Annual Individual Membership at Large is.. | $15.00 |
| I am feeling very generous and would like to make a contribution to the: | |
| Scholarship Fund...................................... | $_______ |
| U.S. National Arboretum Fund................. | $_______ |
| Frysinger Exchange.................................. | $_______ |
| Pennies for Friendship.............................. | $_______ |
| The Angel Fund....................................... | $_______ |
| Total for Membership and Contribution..... | $______ |
Please fill out this application and mail it together with your check to: The Registrar
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