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Name __________________________________________________ Address ________________________________________________ _______________________________________________________ City ______________________________ State _____ Zip ________ Phone __________________________________________________ E-Mail address ___________________________________________ CIT year_________________________________________________ Years in camp ____________________________________________ Spouse __________________________________________________ Kids (w/ages) _____________________________________________ _____ I would like to become a member I am enclosing a check for: ______ One Year's Dues $18 ______ Family Dues $30 ______ Lifetime Membership $150 ______ Lifetime Family Membership $250 Please make your check payable to BHEC Alumni Association Mail to: BHEC Alumni Association Berkshire Hills Emanuel Camps 547 Saw Mill River Road, Suite 3D Ardsley, NY 10502 |