Membership Application

(click here for a printable text version of this form)

Membership is open to all SPOOM members at the rate of
$10 per annum (regular), or $20 (sustaining).

SPOOM Northeast Membership Application:

Name: ____________________________________________________

Address: __________________________________________________

City: __________________ State: _____________ Zip:_____________

Phone Number: __________________________

Fax Number: ____________________________

E-mail address: ___________________________

Membership Category:

Regular: ___ $10

Sustaining: ___ $20 (for special projects)

(Please make check payable to SPOOM/NE)

If Millowner, name of Mill: _______________________

I am interested in the following workgroups:

Windmill Group: _____
Tide Mill Group: _____
Mill Hands (Community Outreach): ____

Please Mail to:

Thomas F. Glick
132 Brook St.
Holliston, MA 01746