Please fill out the form, print it, sign it and fax to the Michigan Floral Association
.
Fax - (517) 575-0115
Shop Name
Contact Name
Address
City
State
Zip
Phone
Fax
Email
Website Address
Total Annual Contribution
Method of Payment
CC Number
Exp. Date
Signature
Date
Bill me Once Annually
Bi Annually (1/1, 7/1)
Quarterly (1/1, 4/1, 7/1, 10/1)
Please contact me about serving on the CMC committee
Copyright © 2005
Michigan Floral Association
Michigan Web Site Design
