Kansas City Rose Society

Link to Thank You pageLink to Payment PageLink to Membership Payment Page

 
A regional, public rose garden where the community can enjoy and learn about roses.

 

Membership Application Form


 

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Thank you for selecting our online
Membership Application option. 

Please proceed by following
the instructions provided below. 

 

 


Questions regarding membership?
Please e-mail:
Arlyn Silvey asilvey@kc.rr.com

Membership Invitation

Household

$    35.00

Friend

$     50.00

Sponsor

$   150.00

Donor

$   500.00

Lifetime

$1,000.00

 

 

 

Before paying for your membership fee, you must fill out the following application form.

 

Instructions:
 
In the form below, please fill in all
blank spaces. You can use your "TAB" key to forward through the boxes or, your mouse pointer.

 

When typing, please do NOT use all UPPER CASE LETTERS; use capital letters only where appropriate.

 

Once you have completed the form to your satisfaction, click the SUBMIT button. You will then be taken to our credit card / Pay Pal page where you can complete your application.
 

Note that if you begin filling in the blanks on this page, and then visit another webpage before completion,
that you could risk loosing the data you have already imputed.  Be prepared before you begin.

 

Report a Problem With This Form

* All fields below require a response

 

Name as it appears on the credit card you will be using to pay for your membership.


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Select from the following:
"New" Member       "Renew" Membership

 


                       

Membership Applicant - First & Last Name of

 

Address                                                                                  Apt.#
    

 

City

 

State                           Zip
    

 

Phone (include area code)  (Please, don't forget to include your phone #)


E-mail 
(Please, don't forget to include your e-mail)

 

Following are Rose Society Activities that welcome your participation.

Please indicate all where you would like to provide assistance.

 

Rose Garden Care   Programs   Rose Show   Membership  
Public Relations   Refreshments   Yearbook

 

If a NEW Member, how did you hear about the Rose Society?

 


After Clicking Submit you will be taken to our Credit Card / PayPal
page where you can complete your application.

 

               

 

The Kansas City Rose Society is an all-volunteer organization!