ROSE SOCIETY
of WESTERN AUSTRALIA (Inc)
MEMBERSHIP FORM
Print and post to:
The Treasurer
Rose Society of WA (Inc)
PO Box 447, COMO, 6952
I/we wish to become a member of the Rose Society of WA (Inc) and enclose payment of $25.00.
Title(s): (Mr, Mrs, Miss,Ms, Dr etc).......................................
Surname:.........................................
First Name:.....................................
and (if joint membership):..........................................
Address:..........................................................
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..................... (post code)
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