Date / Time Name * First Last Phone * Email Address * Address Membership Type * — Select — Youth $5.00 Adult $15.00 Family $25.00 (at one address) Choose which membership fits your needs Additional Family Member Names First Last First Last First Last First Last If more family member name entries required, please use comment box at bottom of the form EXISTING Garden Allotment Renewal — Select — Half $10.00 Full $15.00 Garden Allotment Waitlist — Select — Please add me Not required The DRAHS often experiences a short waitlist for garden allotments. If requested, we will add you to the waitlist Garden Allotment Location Hospital Bill Rounding Park Grouse Park Choose all locations you are interested in DRAHS Yearbook — Select — Hard Copy (address required) Digital Copy Not Required The DRAHS Yearbook is included in your membership. Please select in which format you would like to receive it Payment Method * — Select — Cheque sent to Deep River Horticultural Society, P.O. Box 493, Deep River, ON K0J 1P0 E-transfer to deepriverhortsoc@gmail.com Cash contact us at deepriverhortsoc@gmail.com for assistance Comments/Questions/Suggestions Let us know how we can make your local horticultural society even better!