Name:___________________________________________________________
Address :_________________________________________________________
_________________________________________________________
City:________________________ State:________ Zip Code:______________
Phone: ( ) ____________________
E-mail : ___________________________________________________
Are you currently a member of The American Rose Society? Yes ____ No ____
Dues: _____ $20.00
(Make checks payable to: Connecticut Rose Society)
Send completed application and dues payment to:
Marina Wittig
c/o Connecticut Rose Society
18 Niederwerfer Rd.
Broad Brook, CT 06016
For more information call 860-872-6333 or visit
www.ctrose.org