Please take a moment to fill out the form below and consider becoming a member at the level that is most comfortable for you.

To join the Neighborhood Network

print this page, fill out the form, and mail it with your contribution
to the address at the bottom of the page. Here is my contribution to support the Neighborhood Network's efforts to reduce pesticide use, protect open space and drinking water, and seek more responsive federal, state and local governments.

Check One

__$40 Basic membership
__$60 Family membership
__$120 Friend of the L.I. Neighborhood Network
__$250 Sponsor
__$20 Student & low income membership
__ Other $____




Method of Payment:

__Check __Visa __MC __Amex __Disc

Card #_______________________ Exp. Date___________


Please make checks payable to: Neighborhood Network.

Mail to:

Neighborhood Network
7180 Republic Airport
East Farmingdale, NY 11735