MEMBERSHIP FORM:

If you are interested in becoming a member of The Cucurbit Network and receiving The Cucurbit Network News twice a year (in the spring and fall), print the following form, fill it out, and mail it along with your check to: The Cucurbit Network, (Sorry–we are temporarily without an address and therefore can not take any orders at this time. Stay tune for a new address!). The membership is $15/year.

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Check one: __New Member __Renewal

__I enclose a check for $______ for ___year(s) membership, beginning in 20__.

__I am also enclosing $______ toward TCN's work. Note: TCN is not non-profit.

Name (please print clearly):_____________________________________________________

Professional affiliation:________________________________________________________

Mailing address:_____________________________________________________________

City:______________________ State:_____________________ Zip/Postal Code:_________

Country:_______________________________________________

Telephone:__________________ Fax:__________________ E-mail:____________________

PLEASE BE SURE TO FILL OUT THE FOLLOWING:

I am most interested/specialize in:  __watermelons (Citrullus)
                            __cucumbers &/or melons (Cucumis)
                            __squashes & pumpkins (Cucurbita)
                            __bottle gourds (Lagenaria)
                            __other(s):______________________

My relationship to cucurbits is as a: __breeder
                            __commercial grower/seller
                            __educator
                            __enthusiast
                            __researcher, specify:___________
                            __other:_________________________________

I would like to be included in a published copy of the membership directory: __Yes __No

Specific interests and additional comments:_________________________________________



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