SALINE COUNTY WATER GARDEN CLUB

MEMBERSHIP APPLICATION

NAME: ___________________________________________________

ADDRESS: ________________________________________________

CITY: ___________________________________________________

STATE: ______________________      ZIP: _________________

ENCLOSE $10 PER PERSON MEMBERSHIP FEE

MAKE CHECK PAYABLE TO:

     Saline County Water Garden Club

SEND APPLICATION AND PAYMENT TO:

     Saline County Water Garden Club
     P.O. Box 555
     Marshall, MO 65340