| New England Equestrian Center of Athol 660 New Sherborn Road Athol, MA 01331 MEMBERSHIP APPLICATION |
| Please circle your level of membership: |
NAME:_________________________________________________________________________________________ ADDRESS:______________________________________________________________________________________ TOWN:_________________________________________ STATE:___________ ZIP:________________________ PHONE:________________________________________________________________________________________ EMAIL ADDRESS:_______________________________________________________________________________ |
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| Send to: Rosemary Lyman, 75 Whitaker Road, New Salem, MA 01355 978-544-2342 Please make checks payable to "NEELMCC" Yearly Membership effective January 1st through December 31st of each calendar year THANK YOU FOR YOUR SUPPORT! NEELMCC IS A 501(C)3 AGENCY DEDICATED TO PRESERVING LAND FOR EQUESTRIAN PURPOSES |