South Florida
Cactus and Succulent Society, Inc.
4853 NW 113 Place,
Doral, FL 33178

E-mail: soflacactus@earthlink.net

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MEMBERSHIP APPLICATION

Please print out this form and mail it to us with your payment:

Name Phone 
Address 
City State Zip 
Email address   Birthday (Month/day)  

Type of membership:[     ]Single$20.00 [     ]Family/Household$25.00

Annual Dues
Individual Membership$ 20.00
Family/Household Membership$ 25.00
Contributing Membership$ 35.00
Outside the United States add:$ 10.00
Total Dues Paid With Application:$

Memberships expire December 31 of each year

Mail application and dues payment to:

Emy de la Fuente, Jr., President
4853 NW 113 Place
Doral
Florida 33178
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