Mediterranean Garden Society

Membership Renewal 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

FIRST NAME 

SURNAME

ADDRESS OR MEMBERSHIP NUMBER

 
 

SUBSCRIPTIONS
PAYABLE IN EUROS ONLY are due in January.

ANNUAL MEMBERSHIP FOR 2012 €30 - YES

ANNUAL MEMBERSHIP FOR 2012 & 2013 €60 - YES

REDUCED ANNUAL MEMBERSHIP FOR 5 YEARS €135 - YES

JOINT ANNUAL MEMBERSHIP FOR 2012 €50 - YES

JOINT ANNUAL MEMBERSHIP FOR 2012 & 2013 €100 - YES

REDUCED JOINT ANNUAL MEMBERSHIP FOR 5 YEARS €225 - YES

STUDENT MEMBERSHIP €20 (ONE YEAR ONLY PAYABLE)                  Please include a photocopy of a dated student card or similar with your application

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 (not debit card). We can only accept the cards named below.

Credit Card Payment

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

If you have changed your address, telephone number or email please note it here.


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