Membership Application

Membership Application

Mid-Carolina Camellia Society

Name(s):   ______________________________________________

                   ______________________________________________             

Street Address or P.O. Box: _________________________________

City, State, Zip: ____________

Telephone #: ______________

Email Address: _____________________________

Today's Date:_______________________________

Dues:         $10 per year

                   $20 per year for a family

Meetings are held on first Tuesday evening of most months. Guests are welcome to attend any of our events.

Return this Form and your  Check (payable to Mid-Carolina Camellia Society) to:          
Donna Denton

For additional information contact Cary Chamblee, President of the Mid-Carolina Camellia Society, at (803) 606-1224, or visit our website at: camelliasc.org