Membership Enrollment Type * KCRS New Member KCRS Renewal What level of Membership are you paying for? * Friend, $40 Joint Friend, $60 Patron, $200 Joint Patron, $250 Youth Member, $10 Benefactor, $1,000 If a NEW member, do you want a FREE, 4-month membership in the American Rose Society? (^Leave BLANK if a RENEWING member.) Yes No Provide Member Information First Name * Last Name * Address * City * State * Zip Code # * Phone # * Phone Type House Cell Work E-mail * E-mail Type Personal Work   If a "joint" membership, name of second household member you want to include. Please included first and last name; if NO Joint Member, leave blank.   Following are Rose Society Activities that welcome your participation. Please indicate "all" of which you are interested in providing assistance. Rosebuds (for ages 25-45) Rose Garden Care Rose Show Membership Rose Day Yearbook / Directory Communications Wine & Roses Children's Art Show Jazz in the Roses Children's Poetry Contest Reading in the Roses Children's Summer Classes Spring Tea Annual Meeting Comments - and, If a NEW Member, how did you hear about us?   Name as it appears on the credit card used to pay for the membership. * If the name on the card is different than the named member, is this a gift? Yes No Security Code * (Please click the Submit button only once; do not double click.) After you click submit you will be taken to our PayPal page where you can provide your credit card information. -- THANK YOU!