Revised Membership form

[Erik Olson <eriko@wrq.com>]

Jack, et. al.:
Here is the revised form now up on the AGA pages...


                          AGA Membership Application
                                       
   Please copy the following form and include it with your dues.
     _________________________________________________________________
   
Aquatic Gardeners Association Application for Membership

Name: ________________________________________

Address ______________________________________

City _________________________________________

State/Province _______________________________

Country ______________________________________

Zip/Postal Code ______________________________

E-mail Address _______________________________

Telephone ____________________________________

I might be willing to help in the following areas:

Writing Articles   Editing/Publishing   Artwork   Photos
Online/Computer help   Publicity   Book Sales

Other ________________________________________

______________________________________________

Besides my general interest in planted tanks, I have a particular

interest or expertise in: ____________________

______________________________________________

Membership type:

US/Canada/Mexico ___ 1 year $15   ___ 2 year $28   ___ 3 year $40

other countries  ___ 1 year $28   ___ 2 year $52   ___ 3 year $75
(foreign subscription prices include air mail delivery)

Payment may be with check, money order, or Visa in US$.

Visa Card#  __________________________________

Expiration Date ______________________________

Signature (important) ________________________
     _________________________________________________________________
   
   This Page is not designed to accept the membership directly.
   Please mail to:
   
     Jack O'Leary
     71 Ring Road
     Plympton, MA 02367-1406
     
   DO NOT send your VISA account information through the Internet
   
   

---
Erik D. Olson                                            amazingly, at home
eriko@wrq.com