Northeastern Membership Application
Please Circle one: New or Renewal Membership
Names: ___________________________________________________________________________________
Mailing address: ___________________________________________________________________________
FMCA# ___________________ Home # ____________________________Cell# ____________________
Email Address:_____________________________________________________________________________
I am enclosing a check made out to the Northeastern FMCA for $15 per year
1 year membership ($15)_______ 2 year membership ($30) ______ 3 year membership ($45) ________
I understand I must remain a member in good standing with FMCA to apply for membership of the NORTHEASTERN Chapter. Please send the check and a completed members application form to:
Margaret Aquaro ~ P.O. 104 ~ Pinehurst, Mass. 01866.
For more information contact Margaret Aquaro at romag@comcast.net or 978-667-3757
NOTE: A non completed form or check made out incorrectly will be sent back to you.
For more information contact Margaret Aquaro at romag@comcast.net
Names: ___________________________________________________________________________________
Mailing address: ___________________________________________________________________________
FMCA# ___________________ Home # ____________________________Cell# ____________________
Email Address:_____________________________________________________________________________
I am enclosing a check made out to the Northeastern FMCA for $15 per year
1 year membership ($15)_______ 2 year membership ($30) ______ 3 year membership ($45) ________
I understand I must remain a member in good standing with FMCA to apply for membership of the NORTHEASTERN Chapter. Please send the check and a completed members application form to:
Margaret Aquaro ~ P.O. 104 ~ Pinehurst, Mass. 01866.
For more information contact Margaret Aquaro at romag@comcast.net or 978-667-3757
NOTE: A non completed form or check made out incorrectly will be sent back to you.
For more information contact Margaret Aquaro at romag@comcast.net
