PTBNA MEMBERSHIP FORM - APRIL 05/06
Print out the form then fill in and mail to
Dick Russell
11 Gibbons St. Milton, MA 02186
| Name | Address |
| Phone# | $5.00 per person Total enclosed |
Do you have time to be involved in PTBNA issues Yes___ No___
Do you have a computer Yes___ No___ Email Address _____________________
News and Views I would like to share:
Since some things are better or easier said than written, feel free
to call Dick with
issues, News, or Views/ (617 696 3751) or email at: dickrussell@pinetreebrook.com