2012 Middlesex Chapter Membership Renewal/ Information Change
Your MSOG, Inc. membership year ends December 31, 2011. Please take the time to renew now. We look forward to seeing you in the coming year. We now accept payment through your PayPal account or by credit card (via PayPal), as well as by check.
Step 1: Fill in the form completely. Print a copy for your records.
Step 2: Click Submit button below.
AFTER you press the Submit button, you will be able to pay for your membership online using Paypal or a credit card.
If you prefer, AFTER you press the Submit button, mail your membership dues check made payable to MSOG, Inc., along with a print copy of this form to the Middlesex Chapter Treasurer Paul Keeler, 11 East Walnut St, Milford, MA 01757
When you press the Submit button, your renewal form will be sent to the Middlesex Chapter Treasurer.
| Date: | |
| Membership Number: | |
| Your Name: | |
| Your Address: | |
| City: | |
| State: | |
| Zip+4: | |
| Telephone: | |
| E-mail Address: |
Membership Dues: Indicate your choice of membership for year 2012 (pick ONE)
Method to receive Past Times:
Method to receive MASSOG Journal:
(no fee for hard copy)
Payment Method (PayPal or Check)
PLEASE PRINT YOUR COMPLETED COPY AND THEN PRESS THE SUBMIT BUTTON.