Application for HSA Friends of the Library

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Contact Information

NAME

ADDRESS

ADDRESS (Additional Line 1)

CITY

mvo3s146pvdx

STATE

AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

ZIP

PHONE

EMAIL

Special or Volunteer Interests

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Additional Details

Please Mail Checks Made Payable to:  The Herb Society of America
or Pay via PayPal with a Credit Card Below
 

Friends Yearly Membership Rates

1. Lavender - Individual $5.00
2. Mint - Joint $10.00
3. Bay – Sustaining $15.00 - $249.00
4. Thyme - Life Membership $250.00
5. Renewal - Lavender $5.00 ??
6. Renewal - Mint $10.00 ??
7. Renewal - Bay $15.00 - $249.00??