NEHW Membership Application

Mail your completed form and your check, made out to NEHW, to:

NEHW, c/o Joe Wojtanowski, PO Box 142, Poquonock, CT 06064

 Membership $ 10.00 per year

Membership:  ____ years @ $10/year  $____________
Gift $____________
Total enclosed $_____________


Name ___________________________________

Address __________________________________

_________________________________________

Home Telephone ___________________________

Email ____________________________________

Membership cards are not issued, but members who provide an email address will receive an acknowledgment by email.  Members joining between September and February will receive the report distributed that September. Members joining between March and August will receive their first report by September, unless they specifically request the previous September's report.