MEMBERSHIP INFORMATION

If you're interested in joining the National Society of New England Women, complete this form and a Colony Member in your area will contact you.

Full name:

Address:

City:

State:

Zip code:

E-mail address:

Phone number:

Do you have a close relative who is/was a NSNEW member?

Relative's relationship to you:
Mother Grandmother
Great-grandmother Aunt
Sister Cousin Daughter

Relative's full name:

Relative's National Number:

If you're age 6-18, please check here:

Anything else we should know? Please tell us here: