Membership Form

To become a member, complete the form below, print the page, and mail your completed form with payment to:

                     Herb Society of Manitoba
                        PO Box 61004 RPO Grant Park
                      Winnipeg, MB R3M 3X8

Please provide the following contact information:

First Name

Last Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

FAX

E-mail

Renewal or New Membership?

How did you hear about us?

Are you interested in volunteering? (Please indicate areas of interest.
For more information on volunteering with the Herb Society of Manitoba,
read the Volunteering page.)

Herb Garden
HerbFest

Newsletter
Hospitality
Executive

Speaking/Workshops
Promotions  
Vendors

Special Events

Other? (please specify)

Please indicate Membership Type:

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Last modified: 12/11/11