NAME

ADDRESS

CITY STATE ZIP CODE

HOME TELEPHONE NUMBER ( )

WORK TELEPHONE NUMBER ( )

CELL PHONE NUMBER ( )

E-MAIL ADDRESS

OCCUPATION

HOW MANY VARIETIES OF DAYLILIES DO YOU GROW?

DO YOU HAVE ANY TALENTS THAT YOU FEEL WOULD BENEFIT OUR CLUB?

DO YOU HAVE ANY SUGGESTIONS FOR IMPROVING OUR CLUB?

Dues are $20.00 per household per year.

Make checks payable to Cobb County Daylily Society.

PRINT and MAIL completed application to: Jack Rigsby, 3180 W. Somerset Ct. S.E., Marietta, GA 30067