BOTANICAL SOCIETY OF WASHINGTON

Name:____________________________________________________________

Phones: (H)(___)_______________________(W) (___)__________________

Email:___________________________________________________________

Mailing 
Address:_________________________________________________________

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Special Botanical Interests:_____________________________________

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Include my name in membership directory.  ( ) Yes     ( ) NO

***Please print out this form, enclose your check (made payable to THE BOTANICAL SOCIETY OF WASHINGTON) and mail to the treasurer ($10 for 1 person or $15 for 2 at the same address):

Home page for the BSW can be found at http://www.botsoc.org Upcoming speaker and topic for next month's meeting can be found there.