MembershipForm

Ikenobo Ikebana NJ Society

Membership

 

 

Regular Membership: $48.09 per year --- First certificate & above

Teacher Membership: $80.16 per year --- Active teacher only holding certificate #6 or above

Special Teacher membership: $133.59 per year -- Special teacher holding certificate #9 or above

Note: the membership fee is NJ Sales tax included

 

Please MAKE CHECKS PAYABLE TO: IKENOBO IKEBANA NJ SOCIETY, complete application from below, and mail with check to:

 

Please contact us for the address

info@ikenobonj.org

 

Final date for receipt of dues:

 

 

 

2018 Membership Application Form

 

 

PLEASE PRINT CLEARLY                 DATE:____________ CHECK#___________

 

Type of Membership: Regular _______  Teacher ________ Special Teacher_________

 

Mrs.   Ms.  Miss   Mr.

 

Last Name: ______________________First Name: ____________________________

 

Address: _______________________________________________________________

 

City: ____________________________State:_______________ Zip: ______________

 

Home Phone: _______________________ Cell Phone: _________________________

 

E-mail address: _________________________________________________________


Who is your teacher _____________________________________________________

 

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