Please print and send to the address below

Annual contribution :
Active member :  25.00 $
Affiliated member (commercial) : 50.00 $ 
Renewal is to be made every year on the date of enrollment

Your cheque should be made to the order of the Q.H.H.S and sent to the following address :

Q.H.H.S.
QUEBEC HOSTAS AND HEMEROCALLIS SOCIETY
Montreal Botanical Garden
 4101, rue Sherbrooke est
 Montreal, Qc
H1X 2B2

Date : _____________________ 
Where did you hear about the Q.H.H.S. ? Newspaper____ Radio____ Societies_____ Other_____ 

Last name and first name ___________________ ____________________
Date of birth _____________________________ 
Address ______________________________________ 
City ______________________________ 
Postal Code _____________ 
Telephone : home : (____) ___________ 
                  work : (____)_________ 
E-mail ______________________ 

My garden has : ____ varieties of hostas 
                       _____ varieties of hemerocallis 

I wish to take part in the Society's management : 
Yes_____  No _____ 

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