Berkshire Botanical Gardens 

Membership Application

 You may print this form to mail in.

Name _________________________________________________

Address _______________________________________________

City ________________________  State _____   Zip __________

Home Phone ______________  Work phone ______________

Email  _______________________

Please charge to my: [  ] Visa    [  ] MC    [  ] AmEx    [  ] Disc

Account # _____________________________  Exp. Date _______

Signature _____________________________________________

Or, enclose a check. payable to Berkshire Botanical Garden
Mail to: 

Berkshire Botanical Garden

PO Box 826, Stockbridge, MA 01262