Mail To: Safety Harbor Garden Club Membership                               
690 Main St. #209  Safety Harbor, FL 34695                        MAIL IN APPLICATION

MEMBERSHIP APPLICATION (Please Print)
For Membership Year January 1, 2022 to December 31, 2022


Name:_____________________________________________
Address:___________________________________________
City/Zip:__________________________________________
Year round resident: Yes_______ No_____
Home Phone: Cell Phone:_______________________________

E-Mail:____________________________________________
Birthday:  day/month                 /.                
Tee shirt size  S.   M.     L.      XL.  XXL
Communication will be made by email when available, otherwise by telephone.

Dues are $20 per individual membership January 1 to December 31

$10 July 1 to December 31--- late enrollment

or $30 per couple (or 2 in same family/household). January 1 to December 31

$20 July 1 to December 31---late enrollment 

Make checks payable to Safety Harbor Garden Club.

​FOR MORE INFORMATION:
Please contact our Membership Chairperson