Peonies, Wine & Jazz ~ A Fundraiser for CT NOFA
Friday, May 20, 2011 from 6:00 to 8:00 PM
670 Walnut Hill Road, Thomaston, CT

$50 for CT NOFA members and $65 for non-members.

We encourage you to join!

Please print this page in portrait mode (either before or after you fill it out)
and mail it with payment to the address below. Thank you!

Name Member Non-Member

Name

Member Non-Member
Name Member Non-Member

Organization


Address
Town, State, Zip
Telephone
Email
$50 for NOFA Member
Individual Membership - $35
$65 for Non-Member Family Membership - $50
  Student/ Senior Membership - $25
  Working Membership - $20 plus 5 hours Volunteer Work
  Business/ Organizational Membership - $100
  Supporting Membership - $150

Total Amount Enclosed: $

 

   

How did you hear about thisFundraiser ?
Send printed form (with check) to:
CT NOFA, Box 164
Stevenson, CT 06491-0164