Please fill out this form and print it out & mail to the address at the bottom of this page or Paste it into an e-mail and send to the NEEAE e-mail .

Pony Level Application form for Membership in the NEEAE.   Birth to 16 years.

 

Name_____________________________________________________

 

Mailing Address:____________________________________________

 

Phone #____________________________________________________

 

E-mail address:_______________________________________________

 

Your website Url to be used on the NEEAE website_____________________________________________________

 

Age___________________________________________________

 

Are you interested in being an active member in the NEEAE?________

 

What workshops are looking to take?____________________________

 

May we use your name on the NEEAE website, Members page?__________

 

Parent/Guardian signature:________________________________________

 

Date_________________________________________________________

 

Memberships are for one Year. Renewal must be made each year to continue membership.

 

Membership dues are $10.00

 

Please make out check  to NEEAE and mail this application along with your payment to: (If you are from a Country other than the U.S.A. please use the Paypal button to make payments as the fees to deposit foriegn checks is very high)

NEEAE

C/O Debbie Flood

18 Rolerson Rd.

Belfast, Maine 04915

For fast payment click the Paypal button below to become an instant Member. Thank you.