NEPC Membership
Application/Renewal Form

It's time to renew your membership for the upcoming year
(2016/2017).

Below you will find a membership form and an invoice.
The cost of your membership is $100.00 for each member
from your company. This membership is valid for the NEPC
calendar year Sept. 2016 through Aug. 2017. Thank you.

(Please fill-out completely)

Company
Contact Person
Email
.
Business
Category
.
Company
.
Description
Company tagline or brief description of products 
or services
Address
City
State      Zip  
Phone
Fax
Website
.
Additional Members
.
.
.

Payment Options:

   Credit Card     Pay by Check     Please Invoice

Credit Card:  MasterCard     VISA    American Express

Cardholder's Name
Charge Amount  $   ($100 each member)
Credit Card No.
Exp. Date
CVC Code (on back)

Register here online, by fax or mail

Send registration form to our 24-hr. fax line.
Confirmations will not be mailed.
Fax: (781) 273-4154

or mail to:
New England Produce Council
7 Gloria Circle - Burlington, MA  01803

 

 
.

______________________________

Questions? Please call the
NEPC Office at (781) 273-0444.
For more information contact nepc2@rcn.com

copyright 2017, NEPC, Inc.

 
 
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