Membership Application

Name: ______________________________ Home Phone: ____________________

Address: ______________________________________________________________

City, State, Zip: _______________________ Email: __________________________

Plant Related Business: ___________________________

Website: _______________________________________

Favorite Bulbs: _________________________________________________________

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Favorite Plants: ________________________________________________________

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Special talents and/or ways that you’d like to help PBS: _________________________

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Comments (to be included in the membership directory): _______________________

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Are you interested in showing your garden/nursery to PBS members with prior arrangement made? ____________________________________________________

Check here if you do not wish your information to be included in the PBS directory: ____

 1 YEAR MEMBERSHIP (January 1 – December 31). If you join on or after October 1 your membership will run for the balance of the current year and for one calendar year thereafter.

Mailing address within the U.S.: $20.00 US; Mailing address outside the U.S.: $25.00 US