PBS Membership Application

Membership Application

Membership is $20 US for 12 months (1 year).
We currently do not accept credit cards or PayPal. Please do not send cash.
Please note: Membership is individual only, businesses must provide a single contact's name

Please select status of application:

New Member Current Member Renewal

First Name:

Last Name:

Business or Organization Name:

If you have a business, would you be interested in sponsoring our website and/or advertising in our newsletter?
Yes No Not at this time

Mailing Address:	City:	State:

Province/Country: (if not U.S.)	Zip/Postal Code:	Telephone: (include area code, please)

If you have a bead related website, please include the URL here:

E-mail address:

Would you like to actively participate as a volunteer or staff? Yes No

Please include any comments or requests:

When you click the submit button, a page will come up with your membership application information for you to print out. Just send it along with your check or money order for $20 in US funds to:

Portland Bead Society
Membership Secretary
P.O. Box 997
Portland, OR 97207-0997

This site is maintained by the Portland Bead Society Webmaster - Candy Walter
webmaster@beadport.com

Last update – May 12, 2007