Mediterranean Garden Society

Membership Application Form 2012

Fill in then print out and mail or Fax to:
The Secretary, The Mediterranean Garden Society
P.O.Box 14, GR-190 02 Peania, GREECE
Fax +30 210 664 3089

Please enrol me as a member of the Mediterranean Garden Society
(Greek residents please click here)

TITLE - MR, MRS, MS

FIRST NAME 

SURNAME

ADDRESS

 
 

POSTAL CODE

COUNTRY

TELEPHONE NO

EMAIL

FAX

SUBSCRIPTIONS
PAYABLE IN EUROS ONLY are due in January. New members joining the society during the course of the year
will receive all four issues of the journal published in the year of joining.

ANNUAL MEMBERSHIP FOR 2012 40 - YES

ANNUAL MEMBERSHIP FOR 2012 & 201380 - YES

REDUCED ANNUAL MEMBERSHIP FOR 5 YEARS 180 - YES

JOINT ANNUAL MEMBERSHIP FOR 2012 60 - YES

JOINT ANNUAL MEMBERSHIP FOR 2012, & 2013 120 - YES

REDUCED JOINT ANNUAL MEMBERSHIP FOR 5 YEARS 270 - YES

STUDENT MEMBERSHIP €25 (ONE YEAR ONLY PAYABLE)                  Please include a photocopy of a dated student card or similar with your application

Joint membership is for couples who both want to be full, voting members but do not need
two copies of the Journal. Please write both names in the space provided above.

Life membership is no longer available.

 

PAYMENT
may be made by cheque in Euros made out to “The Mediterranean Garden Society”,
by cash in Euros, or by credit card.

Credit Card Payment
We can only accept the cards named below.

VISA - YES

MASTERCARD - YES

CARD NUMBER

EXPIRY DATE

CVC/CW NUMBER**

**last three digits of the number in the signature space on the reverse of the card.

NAME ON CARD IN CAPITALS

SIGNATURE

NOTE

If you also garden somewhere other than your given address, please indicate where.


If this is a gift subscription please indicate here so that a gift card can be sent. Any further information about your subscription, comments, or questions can also be noted.


This information will be respected According to the terms of the Data Protection Act but if you have ANY OBJECTION to your name and email address being passed to other Members ONLY please indicate here - YES




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