Member Registration Form

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Email

USA Membership

$10

Bi-annual Membership Dues

Canada or Outside USA Membership

$30

Bi-annual Membership Dues

Your name will be included in our membership roster which is periodically distributed to the membership. On occasion, we may make our membership roster available to other garden or horticultural related organizations. If you do not want your name distributed outside Heartland Peony Society, please check here:

Do not distribute my name outside of Heartland Peony Society

Membership:

Member Registration Form