THE MAINE STATE SOCIETY OF WASHINGTON. D. C. MEMBERSHIP APPLICATION
Information is needed to determine eligibility and to create our membership directory. All information will be kept confidential. Please print this page and mail the completed form to the address at the bottom.
EMPLOYMENT (Agency, company, orgn., etc.):
MAINE HOME TOWN:
For family memberships please complete the following information as appropriate:
NAME OF SPOUSE:
(incl. maiden name if appropriate)
EMPLOYMENT (Agency, (company,orgn.,etc.):
How did you learn about the Society?
Mail completed application with dues (check or M/O payable to MAINE STATE SOCIETY) to:
Maine State Society of Washington, DC
6508 Bowie Drive, Springfield, VA 22150