Membership Form

Mr./Mrs./Ms./Dr. ___________________________ 

Name of Spouse ___________________________ 

Address: ________________________________ 

                 ________________________________ 

City: ________________ State: _______ Zip: _______ 

Home Phone: _________ Work Phone: _________ 

Email Address:_____________________________

Select category of Membership Desired (circle one):
Mandarin Orange Picker $35	Corporate Orange Picker $100
May Garner Society $50
Maple Leaf Society $100	Corporate Maple Leaf  $1000
Walter Jones Society $500
St. Johns Society $1000	Corporate Stowe Society $5000

Volunteer Opportunities

___ If you would like to become a volunteer or serve on any of our committees, please check here, one of our board members will call you - Thank you.

Best time to be called? ___________a.m/p.m.

Please print the form and send it to the address below.