Membership Enrollment Type
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KCRS New Member
KCRS Renewal
What level of Membership are you paying for?
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Friend, $40
Joint Friend, $60
Patron, $200
Joint Patron, $250
Youth Member, $10
Benefactor, $1,000
Provide Member Information
First Name
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Last Name
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Address
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City
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State
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Zip Code #
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Phone #
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Phone Type
House
Cell
Work
E-mail
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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.
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If the name on the card is different than the named member, is this a gift?
Yes
No
Security Code
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(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!