Name________________________________________________________________________________________________________
Spouse______________________________________________________________________________________________________
Address_____________________________________________________________________________________________________
City/State/Zip______________________________________________________________________________________________
Telephone___________________________________________________________________________________________________
E-mail address_____________________________________________________________________________________________________
Member of the American Rose Society? (Yes/No)____________________________________________________________________________________________________
If yes, give date_________________________________________________________________________________________________________
Mail your completed application along with your check made payable to Marin Rose Society to:
Barbara Picarelli
724 Rowland Blvd.
Novato, CA 94947
(Referred by Website.)