Membership Enrollment Type
*
New Member
Renewal
What level of Membership are you paying for?
Friend, $40
Patron, $200
Benefactor, $1,000
First Name
*
Last Name
*
Nickname (if any)
Address
*
City
*
State
*
Zip
*
Phone
*
E-mail
Name of household member to include in your membership:
Please included first and last name; if none, leave blank.
Following are Rose Society Activities that welcome your participation. Please indicate "all" of which you are interested in providing assistance.
Rose Garden Care
Rose Show
Young Professionals
Membership
Programs
Media
Events
Refreshments
Yearbook
Children's Activities
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!