Membership Type:    Individual ($20.00)  Couple ($30.00)

(Please print legibly.)

Name:              __________________________________________________

Street:              ___________________________________        Apt: ________           

City:                 ___________________________________     Zip: _________

Telephone:      (______)    ______ - _______

E-mail:             __________________________________________________

Please make your check payable to the Hanford Bonsai Society

□  I  would like to be a Lee Collection docent.

□ I would like to work with a mentor.

Note:      Membership is from January of any given year until the following December of the same year. Dues for members who join after March 1st in any given year will be prorated at $1.66 per month remaining in the calendar year.