NORTHSHOREMEN.com

JOIN NSM!

APPLICATION TO JOIN

NSM c/o HARRY RICKER

18 Crosby Rd, Wakefield, MA 01880  

Application for Membership

( ) NEW ( ) RENEWAL

Please print:

Name: ____________________________________

Companion’s Name: _________________________

Address: __________________________________

City/State/Zip: ______________________________

Email: ____________________________________

Primary Phone: _____________________________

                    

Are you interested in getting involved?

Would you be willing to host a Potluck in your home or yard?

                                                                                      ( ) Yes ( ) No ( ) Maybe

Would you be willing to help-out with an event?               ( ) Yes ( ) No ( ) Maybe

Would you be willing to help clean up after an event?  ( ) Yes ( ) No ( ) Maybe

Comments / Suggestions: ____________________________ 

_________________________________________________

_________________________________________________

The quarterly NSM Newsletter will be sent directly to your email for an annual membership of

$15.00 (Email Only) or $20 (hardcopy/U.S. Mail).

Fee is per person. No reduced fee for couples.

All with an email address also receive email copy of 

NSM News issues and NSM Events Reminders.    

Checks are payable to: “NSM” and sent to the address above.  

All dues are payable on January 1st.  

Membership (per person)

EMAIL ONLY $15.00 _________

U.S. MAIL $ 20.00 _________

AMOUNT ENCLOSED $ _____________  

Don't miss the fun due to finances, assistance is available.

Send inquiries to the above address.