automatic print
Be sure to have your printer ready

 

 

 


Name of shop
Proprietor/Manager
Address
City
State
Zip
Number of Shops
Telephone#

 

CHECK THE FOLLOWING:
Ice Cream Shop Supplier or Servicer
Ice Cream & Sandwich Shop Retail or Food Store
Soft Serve Frozen Desert Shop Restaurant

Other

DUES SCHEDULE:
Regular Membership
 $100 Annually, Payable June 1
Multiple Shops
 $5.00 add'l per shop
Maximum Fee
 $150
Associate Member
 $175 Annually, Payable June 1

Fiscal Year June 1st to May 31st
(Members joining in the last quarter of the year will be fully
paid members until May 31st of the following year)

Dues Total $ 
Recommended By 
Comments 

 

 

N.E.I.C.R.A.
Bob Bryson
P.O. Box 1677
Merrimack, NH 03054

Phone/Fax
603-424-1410
© 2000 N.E.I.C.R.A.