MEMBERSHIP APPLICATION

in the nationwide Rose Family Association

Print and MAIL to the Association's mailing address. [The form cannot be sent by email. You can however email to the Association and indicate you would like to use Paypal for payment. If enrolling in this manner, please include the following information in your email.]]

Your name:

Address:

City and State: Zip:

Telephone: Email address:

SPOUSE: (Add $2.00 to any of the above and include spouse's name below)

Spouse's name:

 
___Subscribing membership - $20.00 ($23.00 Canada) includes quarterly publication
___Contributing membership - $22.00 ($25.00 Canada) includes quarterly publication, and contribution to the postage fund
___Sustaining membership - $26.00 ($26.00 Canada) - includes all the above and helps sustain the organization by contributing funds for purchase of Rose records for publication.
___Spouse membership - add $2.00 to any of the above.
 
CHOOSE ONE OF THE ABOVE.
 
Make checks payable to: Rose Family Association. IMPORTANT: For membership dues outside of United States or Canada, write to the Rose Family Association or email for information on the out-of-country membership dues. The completed membership form cannot be emailed as we are not set up to accept credit cards. It should be sent to the Association at the mailing address below, together with check.

Mail application to:

ROSE FAMILY ASSOCIATION
1474 Montelegre Drive
San Jose, California 95120-4831