Individual membership is $25 per year.  Household membership is $35 per year.  To apply 
for membership or give a membership as a gift, print out the form below and mail with your 
check to: David Richmond, Treasurer, 1007 N. 9th St., Indianola, IA  50125.
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Please print:

Name(s) ________________________________________________________________ 

Address _________________________________________________________________

City ____________________________________ State________    ZIP_____________

Home Phone with area code: ______________________ 
Cell Phone (optional): ____________________________

Email Address (for Newsletter): ______________________________________________

Payment by check or money order $______________ 
Make check or money order payable to IBA

Check Membership type:   New___   Renewal___   Individual___  Household___

Where did you hear about us? 
The Web___  Iowa State Fair___  Reiman Gardens___  Des Moines Botanical Center___  Other__________

This information will not be published or otherwise distributed to the public and is for 
the use of the IBA Board members only.
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