Belmar
High-Power
Wireless
Station
1912-1926
to
InfoAge Homepage
InfoAge Learning Center
2201 Marconi Road
Wall, NJ 07719
732 280-3000
Created December 19, 1999
|
Belmar High-Power Wireless Station 1912-1926 |
to InfoAge Homepage |
The Membership Director InfoAge Learning Center 2201 Marconi Road Wall, NJ 07719 732 280-3000
Created December 19, 1999 |
|
Please Print, fill out this application and mail with a check to the
address
above.
MEMBERSHIP dues are $25.00, good until Dec. 31, 2008 NAME: (Please Print)_______________________________________ ADDRESS:_______________________________________________ CITY/TOWN:_______________STATE:__________ZIP:_________ CHECK NO.______FOR $:_______ADD’L DONATION:_________ OCCUPATION:___________________________________________ SPECIAL INTERESTS:_____________________________________ ________________________________________________________ Would you like to volunteer your time and skills?____________________ Have you worked at Camp Evans? __________ When? ___________ Email: __________________________________________________ Phone: _________________________________________________ Please make all checks payable to: InfoAge Learning Center, and sent to: The Membership Director, Infoage Learning Center, 2201 Marconi Road, Wall NJ 07719. Thank you very much! The Information Age Learning Center is a tax-exempt and tax-deductible 501(c)(3) non-profit organization. Donations are tax-deductible to the extent allowed by law. |