JASNA MASSACHUSETTS - BIRTHDAY PARTY R.S.V.P

Sunday, December 12, 2010 at 3:00 pm
Wheelock College, Brookline Campus 43 Hawes Street, Brookline, MA



Please return this form with a check payable to "JASNA Massachusetts"
with $10 for each reservation ($5 for JASNA Massachusetts members) to:
Marianne Redmond 198 Rock Island Rd, Quincy, MA 02169

Name: _________________________________________________________________
Address: _______________________________________________________________
Email: ___________________________________ Phone: _______________________
No. of non-member reservations _______ x $10 No. of member reservations _______ x $5
Amount Enclosed:_______________________



Please note that JASNA national membership does not include membership in any local chapter.
JASNA Massachusetts dues are collected annually (September to August) in lieu of contributions
at the door. To renew or start an annual membership, please return a check payable to JASNA-Mass
for $15 (regular) or $7.50 (student) to Marianne Redmond 198 Rock Island Rd, Quincy, MA 02169.
Donations are always welcome as well!

Name:
Address:
Phone:
e-mail:
I enclose $_______to cover_______________dues.
I am a JASNA national member. __ YES __ NO Membership category ___________

For more information, you may contact:
Nancy Yee, Regional Coordinator, JASNA Massachusetts, 82 Collins Road,Waban, MA 02468
tel. (617) 965-5699