Join or rejoin the Society by printing and 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 $30 individual or $40 family to:  

Mark Berbach, Treasurer
Pittsburgh Bonsai Society 
1031 Windance Drive
McDonald , PA   15057

Phone: 724 492-1318
Email:  markberbach@yahoo,com

Please print:      

      Name:______________________________________________________


      Address:___________________________________________________


      City:______________________  State:_____	Zip:_____________


      Phone:_________________       Email:_______________________

      Please send Newsletter by [ ]email, or [ ]postal mail


      Individual [ ] $30.00            [ ] New Member


      Family	 [ ] $40.00            [ ] Renewing Member


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