New Jersey Lighthouse Society

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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.