Lancaster Bonsai society

membership application

note: the fields marked with an asterisk (*)are required

those in italics are optional

* NAME:____________________________________________________

*ADDRESS:___________________________________________________

*CITY:___________________ *STATE: __________ *ZIP:_________

TELEPHONE:________________________

E-MAIL:________________________________

YEARS IN BONSAI:_________

WOULD YOU PREFER TO RECEIVE THE CLUB NEWSLETTER VIA E-MAIL?_______

Print this page, fill it our and mail it with a check for $25.00 payable to

LANCASTER BONSAI SOCIETY

and mail it to:

 Ken Williams, Membership Chairman/Treasurer

1139 Simmontown

Gap, PA 17527

Better yet, come to a meeting and bring it along with you.

Come and visit us, guests are always welcome.

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