Greater New Orleans Bonsai Society

Application Form

(Print this form out and mail it with your dues to the address at the bottom)

( ) - Individual Membership $25.00 Date _______________

( ) - Family Membership $30.00

Membership is renewable each January.

After September 1st membership is half price.

Name(s) _________________________________________________

Address ________________________________________

City ___________________________ State _______ Zip _____________

Home Telephone ________________ Office Telephone ________________

E-mail address ___________________________________

I do ( ) do not ( ) wish to have my personal information released for other mailing purposes.

Are you already a bonsai grower? ____________________________

Amount enclosed ______________

Remit to:

Treasurer
The Greater New Orleans Bonsai Society
P.O. Box 13212
New Orleans, LA. 70185-3212