American Iris Society
Region 9 - Illinois
                          Sangamon Valley Iris Society
                (An affiliate of the American Iris Society)
                             Membership Application


Annual membership fee for one person     …………………………$10.00

Annual membership fee for two people       ………………………..$12.00
  (in the same household)

Name:  _________________________________________________

Mailing Address:          _____________________________________

                               ______________________________________
                        
                                _______________________________________

Telephone:                 _______________________________________

Email:                        _______________________________________


Meeting location:        Rochester Public Library
                      Community Room        
                      Rochester, Illinois

Mail application to:        Secretary
                       Sangamon Valley Iris Society
                       61 Laconwood Drive
                       Springfield, Illinois  62712-8727