CONNECTICUT DAHLIA SOCIETY, INC

Printable Version

2006 Dues Renewal Notice

List Amount:

CDS Single Membership………………………………………………… $10.00 $ _______

CDS Family Membership………………………………………………... $12.00 $ _______

CDS Student Membership (Under age 18)………………………………………. FREE

CDS Prize & Booster Fund Donations:

Prize Donor……….……………………………………...……… $10.00 or more $_______

CDS Booster…...……………………………………………….…$ 5.00 or more $_______

*American Dahlia Society, Single Membership………………………..…$20.00 $_______

*American Dahlia Society, Family Membership……………………….....$23.00 $_______

TOTAL ENCLOSED: $_______

*These dues must be received by our Treasurer, no later than

January 10, 2006. You will pay lower ADS dues if you join

the ADS through our society.

New members who joined CDS at our 2005 Show or later, are

payed through the CDS for 2006, but you may wish to join the

ADS at this time.

*********Please print clearly*********

Mr. & Mrs. (Miss) _________________________________Spouse's First Name: ________

No. & Street ________________________________________Tel. ( ) _____-_________

City _______________________ State ________ ZIP _________

E-mail Address______________________________________________________________

Check one if you have ____ Continue to mail my Newsletter by E-mail

E-mail: ____ I do not wish to receive the Newsletter by E-mail

Please make checks payable to: “CT DAHLIA SOCIETY”

Mail to: Mrs. Donna Paternostro 203-574-3945

262 Windy Drive donnalynnpat@aol.com

Waterbury, CT 06705