Mail Registration form to:
Atlanta Bonsai Society, Inc. 
P.O. Box 18653 
Atlanta, Ga  31126

APPLICATION FOR MEMBERSHIP 

NAME _____________________________________________________ 

ADDRESS __________________________________________________ 

CITY _____________________ STATE ___________   ZIP __________ 

HOME PHONE _________________ WORK PHONE _______________ 

FAX: ________________ E-MAIL _______________________________ 

OCCUPATION ______________________ BIRTH DATE _____________ 

INTERESTS OTHER THAN BONSAI _____________________________ 

RENEWAL ___________  NEW MEMBER ____________ 

DUES ARE $35.00 PER YEAR PER FAMILY OR PER INDIVIDUAL PER CALENDAR YEAR.  
ONE MEMBERSHIP EQUALS ONE VOTE 
PLEASE MAIL TO ABS, P.O. BOX 18653, ATLANTA, GA 31126 

_________ PLEASE DO NOT RELEASE THIS INFORMATION TO THE GENERAL MEMBERSHIP