Membership registration - Quiet Corner Garden Club

Please fill in the information below. Items marked * are required other fields are optional

Are you registering as a new member or are you renewing your membership? *

A new member
Renewing my membership

What type of membership? *

Single
Couple

We offer a family discount if you sign up as a couple. The single membership is $25 and the couple membership is $40

Name *

First

Last

Email *

Preferred Phone Number *

Is this a cell phone? *

Alternate Phone Number

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Birthday (Optional)

Please enter the month and day of your birthday

Applicant 1: Name *

First

Last

Applicant 1: Email *

Applicant11: Preferred Phone Number *

Applicant 1: Is this a cell phone? *

Applicant 1: Alternate Phone

Applicant 1: Birthday (Optional)

Please enter the month and day of your birthday

Applicant 2: Name *

First

Last

Applicant 2: Email *

Applicant 2 Preferred Phone Number *

Applicant 2: Is this a cell phone? *

Applicant 2: Alternate Phone

Applicant 2: Birthday (Optional)

Please enter the month and day of your birthday

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Committees

Many hands do light work! As an all-volunteer organization, we ask that every member serves on one committee (or more if you can). Please indicate your interests below with a rating of 1 for the first choice, 2 for the second choice (and 3 if you have a third choice).

Activities: Programs, Trips, and Workshops
Civic – Garden Projects in the Community
Communications, Marketing, and Public Relations
Exhibits, Outreach, and Education
Fundraising – Calling all Crafters!
Historical
Membership
Scholarship
Welcoming – Greeters and Snacks
Potluck Dinner (Spring and Fall)

Please tell us what committee(s) you are interested in! *

Hint: you can copy and paste from the committee list above and place a 1 next to your top choice, a 2 next to your second choice and a 3 next to your third (if you have one!)

Applicant 1: Please tell us what committee(s) you are interested in! *

Hint: you can copy and paste from the committee list above and place a 1 next to your top choice, a 2 next to your second choice and a 3 next to your third (if you have one!)

Applicant 2: Please tell us what committee(s) you are interested in! *

Hint: you can copy and paste from the committee list above and place a 1 next to your top choice, a 2 next to your second choice and a 3 next to your third (if you have one!)

Couple Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Please, Indicate the type of membership and click submit and you will be directed to PayPal for payment

Type of Membership *

Individual - $ 25.00
Couple - $ 40.00