Dues Form Instructions

Due Periodically

PLEASE NOTE ADDRESS FOR PAYMENTS

**For members joining after the initial payment for the year.
1. Complete the form
2. PRINT THE PAGE (RIGHT CLICK anywhere in form; Print TWO copies – one to mail and one for your records)
3. SUBMIT AN ELECTRONIC COPY of the form (click “Submit” button)
4. Make Check payable to “CGCI” (Dues are $2.75 per capita)
5. Mail printed form and check to:

CGCI Membership Chairman
Nina Blonski
5050 Traverse Creek Road
Garden Valley, CA 95633

Related Item: Contact Information Form

NOTE: If no initial payment is received by October 1 the organization becomes ineligible for participation in the CGCI Awards program and to apply for Liability Insurance or the Group Tax Exemption Program.

Dues: Additional Members (Clubs/APS)

Complete and submit the form below for those individuals joining your organization after your initial payment.

If you are paying the General Liability Insurance premium go to: Insurance DO NOT USE THIS FORM

Organization Name *

District if applicable, (scroll to select)

Associate Plant Societies (APS) click on None-APS.

# of Members *

Include honorary & life

Check Amount *

# members x $2.75

Check Date *

mm/dd/yyyy

Check number *

Your Title

President
Treasurer

Your name *

Person submitting form

Phone # *

Email *

Check payable to CGCI.

Mail with copy of form to: Nina Blonski, 5050 Traverse Creek Road, Garden Valley 95633

PRINT FORM (Print TWO copies before clicking on Submit)