BROMELIAD SOCIETY of the Palm Beaches
Membership Application


Please provide your contact information: (Required fields designated with *)
 
Main Membership
*Last Name:
*First Name: Initial:
*Your birthday month: (Use a number 1 to 12)
Spouse/Partner
Fill in only if this is a family membership
Last Name:
First Name: Initial:
Your birthday month: (Use a number 1 to 12)
 
 
*Address:
*City:
*State: *Zip:
*Home Phone: Work Phone:
Email:

Please provide us with additional information so we can continue to improve our programs.
How did you hear about our Bromeliad Society? (Check all that applies)

Newspaper
Twitter
Facebook
Web Site
Societies
Friend
Other

Would you like to participate in supporting our programs and volunteer for our events? We have the following:
  1. Web Site Support
  2. Newsletter
  3. Refreshments
  4. Coordinate events and programs
  5. Support garden cleanups and designs
  6. Rambles and trips
  7. Education
Please type in your interest and/or comments below:


Please Note: Your personal information is not sold or given to any company. It is printed with the exception of your email in our roster so other members can contact you. All information is shared in its entirety with the Governing Board so we can contact you if necessary.

Instructions
  • Print this and fill in all requested information
  • Mail or give to the Membership Chair, Mike Thompson, 6983 Ashton Street, Boynton Beach, FL 33437
  • Please make a payment to Bromeliad Society of the Palm Beaches
  • Membership fee is $20 for single and $25 for family PLUS $9 for each member for the badge(s)
  • The badge will be provided to you when it is ready at a Society meeting
  • The Society meets each 3rd Thursday at the Mounts Botanical Gardens, 531 North Military Trail, West Palm Beach, FL 33425
Thank You for considering membership in our Society. We hope to see you soon.

Please print this form