g (!flTr£snnti|eimtm ^ociofit of America 
8 APPLICATION FOR MEMBERSHIP 
@ Date . 
Chas. W. Johnson, Secretary 
2242 West 109th St., Chicago, Ili. 
I enclose $2.00 Annual dues for 1918 for which I wish to be en¬ 
rolled a member of the Chrysanthemum Society of America. 
Name . 
Local Address . 
City and State . .. 
