The Wayback Machine - https://web.archive.org/all/20051202055215/http://www.chicagobotanic.org:80/member/MemberSignUp.html



NEW MEMBER FAX FORM
For a gift membership, click here.

Individual 2 years at $100 1 year at $55
Family 2 years at $130 1 year at $70
Family Plus 2 years at $180 1 year at $95
Friends' Circle 1 year at $150
National (75+ miles) $54 family $43 individual

Please Print
Name
Address
City, State, Zip

Home Phone
 Business Phone

 I enclosed my company's matching gift form so my membership gift will help the Garden.


Check one: Check Discover VISA MasterCardAmerican Express
Cardholder's Name
Account Number
Expiration Date Signature

 Total membership $ 
 Contribution $ 
 Total amount paid $   

Please print this form and mail to:
Chicago Botanic Garden
1000 Lake Cook Rd.,
Glencoe, Illinois 60022.

Fax to: (847) 835-8923 Call: (847) 835-8215

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