AGA Membership Application

Please copy the following form and include it with your dues. Renewing members do not need to fill out the form unless your information has changed.

Aquatic Gardeners Association Application for Membership

Name: ________________________________________

Address ______________________________________

City _________________________________________

State/Province _______________________________

Country ______________________________________

Zip/Postal Code ______________________________

E-mail Address _______________________________

Telephone ____________________________________

Referred By __________________________________

I might be willing to help in the following areas:

Writing Articles   Editing/Publishing   Artwork   Photos
Online/Computer help   Publicity   Book Sales

Other ________________________________________

______________________________________________

Besides my general interest in planted tanks, I have a particular

interest or expertise in: ____________________

______________________________________________

Membership type:

___ New or ___ Renewal

US/Canada/Mexico ___ 1 year $20   ___ 2 year $38   ___ 3 year $54

other countries  ___ 1 year $33   ___ 2 year $63   ___ 3 year $90
(foreign subscription prices include air mail delivery)

Payment may be with check or money order.  (Credit card payments
available only online via our PayPal shopping cart.)

AGA Membership
PO Box 51536
Denton, TX 76206 (USA)

If you are overseas and ordering books/back issues as well as subscribing to the AGA, please send your combined order to the AGA BookStore.

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