Membership Test Date* Date Format: MM slash DD slash YYYY Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneEmail* Email Emergency Contact Name* First Last Relationship*Phone*BirthdayMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Seasonal Florida Residents, please complete the following:Out-of-State Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneOther Contact NumberMonths spent in Florida(ex: January - April)Do you work? N/A Part Time Full Time How did you hear about the Sarasota Garden Club?Have you attended a meeting or event at the club? Yes No If yes, please describeWill you be able to attend the General Membership meeting held on the third Monday, September through May? Yes No We request participation in one or more of the Standing Committees listed below. A Membership Committee member is available to assist in your selection if needed: Botanical Gardens Communications Community Projects Education Fundraising Hospitality Garden Center Building Membership Programs Publicity Rental Committee Other Tell us something about yourself you would like us to know:Previous Experiences:WorkGardenFloral DesignAgreement & Signature: By submitting this application, I affirm that I want to participate in the activities of the Sarasota Garden Club. I will support its mission and objectives to the best of my ability.Signature*Date* Date Format: MM slash DD slash YYYY Membership Type*Single New Member - $75.00Single New Member- - after January 1 $50.00Couple New Member - $125.00Couple New Member - After January 1 $62.00Processing CostClick here if you would like to add $2.00 to help defray the processing costsTotal Due $0.00 This iframe contains the logic required to handle Ajax powered Gravity Forms. Share this:Click to share on Facebook (Opens in new window)Click to share on Pinterest (Opens in new window)