WELCOME TO THE WINSTON-SALEM ROSE SOCIETY

MEMBERSHIP APPLICATION

Membership Application

Make Checks payable to WSRS and mail them to
103 Shortie Court
King, NC 27021

(Annual dues are $15 single membership or $25 household membership. 


  Single
  Household
Name(S):
ADDRESS:
City / State / Zip:
Phone:
Email Address:
Month:
Amount Paid:
Check Number being mailed:
Date Mailed:
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