The Northern New England Chapter of the Society for Industrial Archeology
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NORTHERN NEW ENGLAND CHAPTER
Membership Form to Print Out

____ New Member ____ Renewing Member

_____ $15 Regular ____ $10 Student ____ $150 Lifetime

Regular membership includes couples and families

NAME(S)__________________________________________________________________


ADDRESS_________________________________________________________________


CITY_____________________________ STATE___________ ZIP__________


PHONE __(______)__________________________________________________


EMAIL ADDRESS_________________________________________________________

Chapter dues do not include membership in National Society for Industrial Archeology

MAKE CHECKS PAYABLE TO: NNEC - SIA

MAIL TO: Carolyn Weatherwax, Treasurer
305 Heritage Way
Gansevoort, NY 12831