| NEELMCC APPLICATION FORM |
| 2008 Memberships All 2007 NEECA memberships, except new members that joined after Sept. 2007, expire as of December 31, 2007. In order to continue receiving discounts from local grain/tack dealers, along with your complimentary subscription to Mass Horse Magazine, you must send in a completed application renewal form, along with the appropriate dues, as soon as possible. Complete the following form and send to: Rosemary Lyman 75 Whitaker Road New Salem, MA 01355 ** PLEASE MAKE CHECKS PAYABLE TO: “NEELMCC”** new membership________ renewal__________ NAME:_________________________________________________ STREET ADDRESS:_______________________________________ TOWN/CITY:_________________________ STATE:_____________ ZIP CODE:________________ PHONE #:_____________________ EMAIL ADDRESS:________________________________________ Please check if you are renewing individual or family membership, INDIVIDUAL - $25.00________FAMILY - $45.00________ _______Please check here if it is alright to share your name, address, phone number and email with other NEECA members Thank you for your continued support! |