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Renew Now...

Membership Renewal Application
Print Page, Fill Out, And Mail

OR PAY NOW ONLINE WITH PAYPAL Click Here ...


Regular Memberships
Quantity Membership Type Price   Line Total
   Standard (individual or joint) for 1 year $30.00 each    =   
   Standard (individual or joint) for 2 years $55.00 each    =  
   Standard (individual or joint) for 3 years $80.00 each    =  
   Sustaining for 1 year $60.00 each    =  
   Sponsoring for 1 year $120.00 each    =  
   Life $600.00 each    =  
Total Amount =  


Commercial/Institutional Memberships
Quantity Membership Type Price   Line Total
   Standard for 1 year $60.00 each    =   
   Sustaining for 1 year $120.00 each    =  
Total Amount =  


Please Print
Your Name (list both names for joint membership ): ________________________________________________
Address (commercial/institutional members, list contact person):__________________________________________
_______________________________________________________________________________
City: __________________________    State: _____________    Postal Code:_____________
Country: ________________________________    E-mail:_______________________________
Home Phone: ________________    Office Phone: _______________  Fax: ________________

( ) May ( ) May not release home phone*       ( ) May ( ) May not release office phone*       ( ) May ( ) May not release fax*
*Only published in membership lists distributed to members

Please fill out the following for gift memberships:



Please Print
Your Name (list both names for joint membership ): ________________________________________________
Address (commercial/institutional members, list contact person):__________________________________________
_______________________________________________________________________________
City: __________________________    State: _______________   Postal Code: _____________
Country: ________________________________    E-mail:_______________________________
Home Phone: ________________    Office Phone: _______________  Fax: ________________

( ) May ( ) May not release home phone*       ( ) May ( ) May not release office phone*       ( ) May ( ) May not release fax*
*Only published in membership lists distributed to members

Cannot accept credit cards at this time. Paypal coming soon.

Make checks payable (in U.S. funds or international Money Order) to:
Holly Society of America, Inc.

Print page, fill out, and send along with payment to:
Holly Society of America, Inc.
309 Buck Street
P.O. Box 803
Millville, NJ 08332-0803
USA






Holly Society of Americca

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