Text Box: For Official Use Only   Ch #_________          Amt _____________      Dinghy Sticker #_______             Property Owners of Eaton’s Neck Beach, Inc

             2010 Membership Registration Form 

                                                        Please Fill out and send  with a check (payable to POENB) to:

    POENB, P.O. Box 124, Northport NY 11768 or save a stamp and put it in the POENB mailbox on the signpost in the Firehouse parking lot

                                                                                   You can Type in your responses  

Name
Address
Tel/Cel
E-mail

                                              2010 Membership Rates   

                                Senior: (62 or Older): $100 ($125 after March 31)  

                                         Standard: $175 ($200 after March 31)

                   New Resident (within the last 6 months):  $100

Watercraft Stickers by Request: (1 Sticker included in Membership Dues each additional $25)

Total # of Stickers for Price's Bend:  Total # of Stickers for Valley Grove:

                Committees/Events I am interested in participating in

 Beach Committee    Egg Hunt Social Committee  Parti Gras  

 Block Captains   Adult Beach Party   Membership  PastaParty  

Children’s Summer Workshop Fourth of July Parade Chowder/Chili Fest

Changing TidesNew Years Eve Party Tag Sale Halloween    

          Please accept my donation of $towards the POENB Scholarship Fund                                                

 


Copyright © 2001 [POENB]. All rights reserved.
Revised: 02/12/10.