Application Form
 
Name:
Address:
City, Prov./State:
Postal/Zip Code:
Telephone/Fax:
E-mail Address:
 
 
One Year Membership:

Single - $25 Cdn /US
Family - $30 Cdn /US
Three Year Membership:

Single - $50 Cdn/US 
Family - $60 Cdn/US
Life Membership:

Single - $150 Cdn/US 
Family - $175 Cdn/US
Circle one of the above.

Send your check or money order to:

Canadian Hemerocallis Society
c/o John P. Peat
16 Douville Court
Toronto, ON  M5A 4E7 - jpeat@distinctly.on.ca
 

If paying by Visa or Mastercard:
 
Name on Card:
Number: 
Expiry Date: 
Print and fax this form out and fax to: 416-861-9300 if paying by Visa or Mastercard.