KWGSCNY
Koi and Water Garden Society of Central New York
APPLICATION FOR MEMBERSHIP
Club memberships expire on March 31st
The information in this application is reviewed by the KWGSCNY Board of Directors. It must be completed for all proposed & renewing members.

Membership is $25.00 yearly

Name ____________________________________________
Spouse's name _____________________________________
Children's names ________________________   ________________________
Street address________________________________________________________________
City __________________________________
State/Province_________________________ Zip ________
Home phone (      ) ______________  Business phone (      ) ______________
Fax (      ) ______________          Email address ___________________________________

Do you have a pond? _______   Are you planning on building one? _______
Interests:  Ponds _______  Koi _______  Goldfish _______  Aquatic Plants _______ 

All memberships expire on March 31st. Annual dues are $25.00:


Make all checks payable to the KWGSCNY.  Send your completed application, along with your check to: KWGSCNY, 130 Alice Ave, Solvay, NY 13209. Or bring the application to the next meeting.
Copyright (c) 2003 Koi and Water Garden Society of Central New York. All rights reserved.
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