Please print and mail to the address listed.
Michigan Grape Society 2007 Dues
$15.00 per person
Name:___________________________________________________
Address:_________________________________________________
City:______________________________State:_________ Zip:______________
Phone#________________________________________
$15 per person/1 yr. Membership (1/1/07-12/31/07) Amount Enclosed $___________
Make check payable to: Michigan Grape Society
Mail to: MSUE-Van Buren County, Attn: Melissa Franklin
801 Hazen St.,
Suite A
Paw Paw, MI 49079