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To become a member, mail
this application along with payment (payable to Dixie AVS) to our Membership Chairman, Johnnie
Berry, 287 Fennel Way SW, Atlanta, GA 30331.
Individual
$15/year Individual Life $175.00
Affiliate Club $20/year Commercial
$25/year
Dual (2 members at the same address)
$20/year
(Please make check out to Dixie African Violet Society)
New_______Renewal_________Date______________
Name________________________________________
Address______________________________________
City_________________State______ZIP+4_________
Phone_______________E-Mail___________________
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