Southern Syrup-Makers’

Association

MEMBERSHIP FORM

 

DATE: ___________________

NAME:_____________________________________

ADDRESS: _________________________________

CITY: _____________________________________

ZIP CODE: ___________________

TELEPHONE: _______________________

E-MAIL (Optional but helpful):

____________________________________________

 

Please remit with your $20 to

Southern Syrup-Makers’ Association

C/O David White

19173 NW CR 275

Altha, FL 32421