Please complete this application and attach the annual membership fee of $25, payable by check to the Chippewa Garden Club, Inc.

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Name *

First

Last

Birth Month & Day *

Address *

City State Zip *

Phone Number *

Phone Type *

• Mobile
• Home

Email *

Spouse's Name

Email & Signature

Any special gardening interests?

Signature *

I agree to grant CGC the right to use my name, photograph or personal information without compensation on CGC website or in any publication.

Submit

For further information,

call Amy Carter: 440-230-5611 or email or call Janice Adams jadams104@roadrunner.com 440 409-9426