Name______________________________________________________________

Address____________________________________________________________

Home Phone: ______________________Cell:_____________________

Email: ____________________________________________________

By unanimous vote at the 2010 Annual Meeting, dues are now $40/yr.
To receive a $5 discount, members can renew for $35 before the end of June, 2012.
New memberships are $35. New members paid before Dec 31 are eligible to enter works for the subsequent Philadelphia Flower Show.

___I have enclosed my Annual Dues check for $40.00
___I am paying before the end of June, 2012, at $35.00

Please tell us how you learned about PSBI.
___ My teacher, ____________________________________________ is a member.
___ My friend, _____________________________________________ is a member.
___ Flower Show Exhibit     ___PSBI website     ___Other:______________________

Our newsletter is going "Green." Please tell us your PSBI Newsletter preference:

____I am pleased PSBI is going Green. Please e-mail me the full color copy of the newsletter.

____I cannot, or don't wish to, "go Green". Please send me the black and white paper copy
of the newsletter this year.

I wish to participate more fully in club activities by joining the following committees:

Exhibits_____________ Membership____________
Program____________ Board_________________
Flower Show_________ Financial_______________
Publicity_____________ Newsletter_____________

Please send this statement along with your check to:
Pat Field, Treasurer PSBI
81 Old Red Mill Road
Newark, DE 19711-6671