Membership Application

  1. The New England Ice Cream Restaurant Association

    Membership Application

    To become a member of NEICRA, you need only fill out the form below and pay via PayPal, or download, print and fill out the membership application and send it to us with a check to cover our modest dues. Upon acceptance you will receive a directory of our membership as well as the most recent copy of our newsletter, The Scoop.

    Come see what we're all about! Once you join, you'll eat it up!

  2. Business Name:(*)
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  3. Referred By:
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  4. Owner/Manager Name:(*)
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  5. Address:(*)
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  6. City, State, Zip:(*)
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  7. Phone Number:
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  8. Your Email:
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  9. Website Address:
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  10. If you would like us to use a different mailing address, please complete this section:
  11. Name
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  12. Address:
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  13. City, State, Zip:
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  14. Phone Number:
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  15. Your Email:
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  16. Website Address:
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  17. Membership Fees(*)
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  18. Total Membership Fees
    0.00 USD
  19. Please enter the security code
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