Name: ____________________________________________________

Spouse or other: ____________________________________________

Mailing Address: ____________________________________________

City: _____________________________State: _______Zip: _________

Telephone: _________________ email: __________________________

To help your Society serve you better, please provide the following information:

Do you have a pond?  ___ Yes  ___ No  Years of Experience _______________

 What are your primary interests?

  ____ Pond designs   _____ Pond construction   _____ Water gardening

   ____ Water quality   _____ Plant care   _____ Koi   _____ Goldfish

 Other: ___________________________________________________

Would you like to be on next year's pond tour? _____

Would like to host a meeting or social? ____

ANNUAL DUES

April 1 to March 31

 Family:  $25.00 (65 and older - $15.00);     With business card ad in newsletter:  $25.00 + dues.

Make check payable to IEWGKS

Mail to: IEWGKS

            PO Box 4792

            Spokane WA 99220