HelpNet Membership Form
- I/We would like to join HelpNet for the year 20___ . I/We agree to
abide by the HelpNet membership policies.
- I/We are joining as:
- ___ An Individual member.
___ An Organizational member.
- Name (of person or organization):
______________________________________
- Contact person (for organizational member):
_____________________________
- Mailing address: ___________________________________________________
- ______________________________________________________________
- Telephone: _____________________
- Fax: _________________________
- E-Mail: ____________________________
- Web site (if applicable): ____________________________________
- ____ My/Our membership dues are enclosed. (Dues amounts: $5/year for individuals,
$25/year for organizations with annual budgets of less than $50,000, $50/year
for organizations with annual budgets of $50,000 or more. Please make check
payable to Pine Tree Folk School, and indicate that it is for HelpNet
membership.)
- _____ I would like to make alternative dues arangements. (Dues
obligations may be met by providing services in lieu of cash payment. We
are all in this together, and no one will be denied membership because
of inability to pay.)
- Pleae print out this form, fill it out, and send it, with the
appropriate dues payment, to:
- HelpNet, c/o Pine Tree Folk School
- RR 2, Box 7162
- Carmel, ME 04419
- 207/848-2433
HelpNet is a project of Pine Tree Folk School, and is
co-sponsored by Bairnet (the Bangor Area Information Resources Network)
and by the Peace and Justice Center of Eastern Maine.