NEIC Pledge Form

NEIC Membership Pledge
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*
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.)
YesNo
YesNo
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:
Should be Empty:

NEIC Membership Pledge