Join The Maumee Valley Herb Society

Print this form and fill it out. Then, mail the completed form along with a check for your membership dues to:

Nancy Durnford, Membership
Maumee Valley Herb Society
6048 Jeffrey Lane
Sylvania, OH 43560
Email Nancy

Make your check payable to: Maumee Valley Herb Society

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Name(s):	__________________________________________________
Street Address:	__________________________________________________
	__________________________________________________
City:	__________________________________________________
State:	__________________________________________________
Zip:	__________________________________________________
Telephone:	__________________________________________________
Email Address:	__________________________________________________
Circle one:	Individual Membership	Membership Dues Months Covered Individual Family Jan - Dec $20.00 $25.00 July - Dec $10.00 $12.50
	or
	Family Membership
Total Dues:	________________________
Membership Activity	[  ] Spring Plant Sale (May) [  ] Please send me the newsletter by email [  ] Heralding the Holidays (December) [  ] Working in the herb garden [  ] Contributing to the newsletter [  ] Serving as an officer or chairman of our events [  ] Other areas of service (please specify): __________________________________________________
Please Note:	Membership dues must be received by January 31st to be listed in the MVHS Directory. If you have a question or need more information, please email email Nancy or call (419) 936-2986. Thank you!