Membership Application - Sarasota Garden Club

Name*

First Last

Date*

Address*

Street Address City State ZIP Code

Home Phone

Cell Phone

Email*

Emergency Contact Name*

First Last

Relationship*

Phone*

Birthday

Seasonal Florida Residents, please complete the following:

Out-of-State Address

Street Address City State ZIP Code

Home Phone

Other Contact Number

Months 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 describe

Will 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:

Tell us something about yourself you would like us to know:

Previous Experiences:

Work

Garden

Floral Design

Agreement & 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*

Membership Type*

Single New Member - $75.00
Single New Member- - after January 1 $50.00
Couple New Member - $125.00
Couple New Member - After January 1 $62.00

Total Due

$0.00

Seasonal Florida Residents, please complete the following:

Previous Experiences:

Agreement & Signature:

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