THE WISCONSIN PEONY SOCIETIES MEMBERSHIP FORM

____ New Member                ____ Renewal

____ Check here if you do not want your contact information published in the annual membership list.

I am willing to help with the following:

___ Membership Committee             ___ Annual Show Committee

___ Fall Root Auction                   ___ Newsletter Committee

___ Society Publicity                   ___ Newsletter Contributions

___ Web-site Development       ___ Historical Committee

___ Board of Directors                ___ Other, explain ______________________________________________________

Dues are $5.00 per household per year or $10.00 per household for three years.  Make checks payable to Wisconsin Peony Society.  Mail this completed form along with your payment to:                  

Scott Parker

23409 Desoto Ave.

Tomah Wisconsin 54660

For further information, you may contact Scott Parker by phone at 608-378-4778 or by email at oldtooltrader@centurytel.net