Print this page and mail with your dues to the address below or see other options below.
(Please print clearly)

NJLHS Membership Form
Name:
____________________________________________________________________
Address:
____________________________________________________________________
City
____________________________
State:
___________
ZIP:
___________
Phone:
______ - ________ - _______
Email:
______________________________
Is this membership NEW ____ or a RENEWAL ___

From time to time we may, with Board approval, make our mailing list available to organizations or companies whose cause or product we believe might be of interest to our members. Please mark whether or not you would like to be included in these mailings in the blanks below. In no case will telephone numbers be given out.

You can include me in third party mailings: YES ___ NO ____

Please enclose a check for $20 (single membership) or $25 (family membership) payable to New Jersey Lighthouse Society, Inc.

Send to:

New Jersey Lighthouse Society, Inc.
P.O. Box 332
Navesink, NJ 07752-0332

Membership runs for the calendar year.

Click here to go to a printable version of just
the application form, which can be filled out

and mailed, with your dues, to the above address.
Click here to download a Microsoft Word file, (.doc) that you can open in Word, or Wordpad, fill out and mail, with your dues,to the above address.



© 2007 NJLHS