Annual Membership dues are $15.00 for a single membership or
$25.00 for two with the same mailing address. 
Membership free to applicants 80 years old and over.

Mail form with payment of $15.00 single membership
$25.00 for two (with the same mailing address) 

Address to: Maui Orchid Society, P.O. Box 2061, Kahului, HI  96733   

or bring your payment in and join at our next meeting.

(  ) New Member       (  ) Membership Renewal

My Membership was referred by __________________________________________
                                    Name of MOS Member who referred you

             Membership free to applicants 80 years old and over.  Are you over 80 ? (   )

Membership Renewal and Information Update

Name:_______________________________________________________________

Name:_______________________________________________________________

Address:_____________________________________________________________

____________________________________________________________________

City:________________________________  Zip:____________________________

Phone:______________________________   Email:__________________________

MOS Office Use     Paid by:      Cash    Check

Payment Amount:  $_________________    Clerk:____________________________

Receipt of Payment – Maui Orchid Society

Member Name:______________________________
Amount Received:  $_______________________ Cash  /  Check       

Clerk:____________________  Date:_______________________

               (  ) New Member                           (   ) Membership Renewal

                               Mahalo for supporting the Maui Orchid Society.