Alumni Directory update/dues registration form

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PROFESSIONAL GARDENER ALUMNI ASSOCIATION
ALUMNI DIRECTORY UPDATE
and
DUES REGISTRATION FORM
January 1-December 31
Please complete the following information to keep our records current:
Please check the box next to the information you do NOT want published in the Alumni Directory
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Name:
Employer:
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Spouse's Name:
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Job Title:
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Class of:
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Street:
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Street:
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City:
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City:
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State and Zip Code:
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State and Zip Code:
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Phone: (
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Phone: (
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Web Site:
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E-mail:
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E-mail:
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Yes, I want to be a member of the PGAA. Enclosed is my check or money order for
$35 (payable to PGAA of Longwood Gardens).
)
)
Check No.: ______ Date Received: ______ Please send Grapevine via US Mail ______
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No membership at this time. However, please update my records.
What’s new with you? Did you get a promotion, buy a house, start a new job, get married or
win an award? Let us know so we can print it in next quarter’s Grapevine (use the back if
necessary).
Please return this form (and payment if you are joining/renewing membership) to:
Michael Morgan, PGAA Treasurer
386 McKinneytown Road
Northeast, MD 21901
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