NAME: __________________________________________________________________________________
           (LAST)                   (FIRST)                (NICKNAME/MIDDLE INITIAL)

ADDRESS:  ___________________________________________________________________________________
          (STREET)                            (CITY)                        (ZIP)

TELEPHONE:  __________________________________________________________________
             (HOME)                   (CELL)                   (BUSINESS)

EMAIL ADDRESS:  ___________________________________________

SPOUCE’S NAME:   __________________________________________

My principal gardening interests are: (Circle as many as apply)

1. Annuals          5. Conifers         9. Lawns/Grasses  13. Shrubbery

2. Azaleas          6. Fruits/Berries   10. Perennials    14. Trees

3. Bulbs            7. Hollies          11. Rhododendrons 15. Vegetables

4. Orchids          8. Houseplants      12. Roses         16. Greenhouses

17. Other  ____________________________________
                (Please Specify)

I obtained this application from:  ___________________________________________
                                        (Location or Sponsor’s Name)

A check for annual dues of $25.00 (Individual) or $35.00 (Family) is enclosed.
Send Application and check (made out to GOSV) for dues to:

Gardeners of Somerset Valley, Inc.
Fred Yarnell
181 Carol Jean Way
908-722-4759
Cell: 908-797-5711