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                                       (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______________________________________________





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


©2024 Garden Club of Lake Placid

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