Membership Options: *

NEW MEMBER (Single Member - 1 vote - $30)

RENEWING MEMBER (Single Member - 1 vote - $30)

FAMILY MEMBERSHIP (2 ppl - 1 household - $45)

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Phone

Phone number for second person in family membership

(###)

###

####

Where do you grow your orchids?

Windowsill

Under lights

Greenhouse

Orchidarium

How many orchids do you currently own?

0-10

11-20

21-35

35-50

50-100

>100

Membership Fee is $30 for individual membership and $45 for family membership. What is your preferred method of payment? *

Cash

Cheque (to be paid at meeting)

Cheque (mailed)

E-transfer

I hereby give my permission to publish the following personal information to the membership directory (distributed to members only) *

Name

Email Address

Phone Number

PLEASE DO NOT INCLUDE ANY INFORMATION IN THE MEMBERSHIP DIRECTORY

If requested, would you be willing to volunteer to help out at CVIOS functions, ie. the annual orchid show, pop-up displays, information kiosks, etc?

Yes

No

Maybe

NEW MEMBERS ONLY: How did you hear about the CVIOS?

Website

Facebook

TV

Radio

Newspaper

Vendor

Orchid Show

Word of mouth - family or friend