Join or rejoin the Society by bringing this form and dues payment to any meeting. If you prefer to mail the Application/Renewal, include a check made payable to the Pittsburgh Bonsai Society for $25 individual or $35 family to:  

Tim Bamford, Treasurer
Pittsburgh Bonsai Society 
6761 Kevin Drive
Bethel Park , PA 15102

Phone: 412 833-8745
Email:  timbamford@verizon.net 

      Name:_________________________________________________


      Address:______________________________________________


      City:______________________  State:_____	Zip:________


      Phone Home:_________________  Work:_________________  Email:_________________


      Individual [  ] $25.00            *New Member 	_____


      Family	 [  ] $35.00            Renewing Member _____


      How did you hear about us? [ ] Word of Mouth    [ ] Spring Show    [ ] Media   [ ] Bonsai Classes
                                 [ ] Phipps   [ ] A Friend who has bonsai  [ ] Other _________________________