(Last, First, and Middle Initial)



                            ☐     New member - please fill out entire form


                            ☐     Return member - please note changes only


                            Mailing Address_________________________________________   


                            City, State, Zip___________________________________________


                            Home Telephone_________________________________________


                            Cell Phone______________________________________________


                            E-mail Address__________________________________________

    Any Comments__________________________________________





Annual dues shall be $30 preferably paid on or before April 1st of the calendar year.


Please make checks payable to Garden Club of Lake Placid

and mail to:


Garden Club of Lake Placid

Post Office Box 984

Lake Placid, NY 12946 


©2021 Garden Club of Lake Placid