NEIC Pledge Form

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Neighborhood

Phone Number*

Area CodePhone Number

E-mail*

I prefer to receive NEIC communications by:*

E-mailPostal mail

I pledge to purchase a membership share for $1,000.00 by the following date. (Installment options are available; please contact board@neic.coop for details.)

I would consider an additional investment or loan to NEIC to purchase a property.

YesNo

I am willing to write a letter of support, or to publicly endorse the cooperative.

YesNo

I am willing to share my expertise doing the following (check all that apply):

Exploring property options for purchaseConnecting with other interested folks in NortheastDeveloping financial scenarios and projectionsBlogging about NEIC, posting on Facebook, social media outreachPlanning get-togethers for NEIC members and potential membersParticipating in the governance of this organizationI have other expertise to offer; please contact me

I think this is a great idea, and I want to see it happen! I think the time has come for this concept because:

NEIC Membership Pledge