Societa Santa Maria Di Anzano, Inc. Membership Application

To the Society:

I desire membership to the Society; if accepted, I agree to abide by the bylaws of the Society. I further agree to be of help in any way that I can to promote and further the growth of the Society.

Name:


Address:


Home Phone:


Cell Phone:


Email:


Preferred Contact Method:
Email      Mail


Electronic Signature:


Date:




Dues are $50.00 per year and due at the time of application. If you wish to mail your dues you can send them to:

Societa Santa Maria Di Anzano, Inc.
859 Broadway #16
Everett, MA 02149