WESTERN NORTH CAROLINA GOURD PATCH

 

 

MEMERSHIP APPLICATION FORM

 

 

 

Name (please print)…………………………………………………………………………

 

Address……………………………………………………………………………………..

 

City…………………………………Zip Code………………..

 

Tel:      Home: …………………………………………………

 

            Work or Cell: …………………………………………

 

Email address: ………………………………………………

 

Enclose check or money order for $20.00 if you live within the Asheville city limit or $30.00 if you live outside the Asheville City limit.*

 

Please complete the above form and forward it, together with your check or money order to:

 

Treasurer,

WNC Gourd Patch,

479 Riverview Drive,

Asheville, NC 28806

 

 

* The extra $10.00 for non-Asheville City residents is forwarded to the Parks &    Recreation Department and is a yearly fee for use of the North Asheville Community Center.

 

 

 

 

 

WNCGP2