SLIPPER ORCHID ALLIANCE
MEMBERSHIP APPLICATION

Dedicated to the preservation of and education about all lady-slipper orchids including Cypripedium, Mexipedium, Paphiopedilum, Phragmipedium, and Selenipedium
 
Membership is open to everyone interested in lady-slipper orchids.  Annual membership is $25 for individuals (or a single household) and $50 for Supporting Members (business, group or individual). Supporting members are listed in each SOA Newsletter, are highlighted and listed on a special page in the SOA Membership Directory, are provided a link to their web-site from the SOA web-site, and are entitled to a l/8 page ad each year in the Newsletter.

PLEASE PRINT THIS PAGE, COMPLETE, AND RETURN

 
Date:_______________                                  New: _______________ Renewal:_______________
Name of Individual Member or Household ($25):_________________________________________
     Name of second person at same address: ____________________________________________
Name of Supporting Member ($50): __________________________________________________
Name of Business or Group: ________________________________________________________
Donation in addition to dues: ___________________
Street: _________________________________________________________________________
City: _____________________________________ State, Province, Zip: ____________________
Country: ______________________________
Home phone:_____________________________ Home fax: ______________________________
Office phone: ____________________________ Office fax: ______________________________
E-mail address: _________________________________________________________________
Web-site address: _______________________________________________________________

Please mail membership application with check payable to Slipper Orchid Alliance to Jean Metcalf, Membership Secretary, 2323 Edinboro Road, GH #6, Erie, PA  16509.   For information:
orchidiva@yahoo.com. or 814-866-3437.