2010 MEMBERSHIP DRIVE

IT’S TIME TO RENEW YOUR

NEAMF MEMBERSHIP!

CORRECTIONS:

Contact Member:                                           

Significant Other:        

Preferred Address:                             

                                     

Telephone:                     

Email:                                     

Children’s Names, Birthdates:       

                                                               

                                                                                                 

Interests:  

           

Your tax-free contribution helps NEAMF plan and sponsor family events, kids clubs, educational programs and parent support groups.

Dues: 

  One-year Family Membership      ___  ($40)

  Bronze Circle Membership           ___  ($50)

          Silver Circle Membership             ___  ($100)

          Gold Circle Membership              ___  ($150 and up)

(  ) Check here if you are joining as a Bronze, Silver or Gold Circle Member but do not wish to be publicly acknowledged.

Please make checks payable to NEAMF, and return with this form with your payment to:

 NEAMF Treasurer

Kenny Tamarkin

22 Willard Circle, Andover, MA 01810

(978-475-7565)

Please use the accompanying volunteer/feedback form to give us the feedback we need to make NEAMF a better organization for you, and return with your payment by December 31, 2009