Membership Registration

To register for membership, please print this page and return with payment to BEEC at the address below.
Thank you!

Membership categories:
$30 — Individual
$45 — Family
$20 — Student, Senior
$50 — Friend
$100 — Supporting
$250 — Sustaining
$500 — Patron

Name___________________________________________________
Date____________________________________________________
Address_________________________________________________
Town____________________________State______Zip___________
Phone___________________________________________________
E-mail___________________________________________________
Amount enclosed: $________________________________________

Make checks payable to BEEC
Mail to: BEEC at P.O. Box 2318, West Brattleboro, VT 05303