Central
Gardens of North Iowa Personal
information/volunteer interests
Date:
Name:
Spouse's
Name:
Address:
Home
Phone:
Work
Phone:
Cell
Phone:
Fax:
E-mail
Preferred
Communication Mode:
(select one)
Current
Memberships
Tree Steward
Master Gardener
Garden
Clubs
(Give Names)
Civic
Groups
(Give Names)
Area's
of Interest
(select all that apply)
Special
Talents/Interest
Click submit to send
information online
or complete, print, and fax to:
641.357.1939
or Mail to:
Central Gardens of North Iowa
PO Box 735
Clear Lake, IA 50428-0735
