Membership Application

Print out and mail with check

Name: _____________________________________

Salon Name: _______________________________

Salon Address: ____________________________

City: ____________ State: _______ Zip: _______

Salon phone: (______) - __________ - _________

Home phone: (______) - __________ - _________

Cell phone: (______) - _________ - __________

E-Mail: __________________________________

Years Grooming ___________________________

Company Position (owner, manager, stylist, assistant, student):
__________________________________________

Interests/ Specialties: _______________________

_________________________________________

_________________________________________

Awards/Recognition's: ______________________

_________________________________________

_________________________________________

For Member Directory:
List E-mail(yes/no):_________
List Cell(yes/no):___________

Newsletter Subscription(Email, postal, both): _____________

Groom cats(yes/no):_____________

Mailing Address (if different from above):

_________________________________________

_________________________________________

_________________________________________

Membership is $40.00 yearly. It will enable you to attend NEPGP events at a reduced rate. In addition, you will receive the membership directory (with annual updates), quarterly newsletter, certificate suitable for framing, a lapel pin, and window decal.

Mail to:NEPGP

C/O Linda Claflin 7 Dewey Circle
Haydenville, MA 01039

Mission Statement

Dedicated to animal's good health and beauty through kindness and skill.