Hunterdon Holistic Society (HHS) ~ Membership Application
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Section 1 ~ Contact Information
Date: ___________ Name (Last, First) _______________________________________
Business Name: _________________________________________________________
Business Address: ________________________ City, State, Zip: _________________
Mailing Address: __________________________ City, State, Zip: _________________
Primary Phone: _________________________ Secondary Phone: _________________
Email: _______________________________ Website: __________________________

Section 2 ~ Application Process
Written applications for membership must be accompanied by payment of yearly dues. Submit membership applications to the HHS Membership Committee at PO Box 5120, Clinton, NJ 08809. The President announces new members at the next general meeting. Hunterdon Holistic Society membership fees are non-refundable.

Membership is open to those persons whose profession, avocation or lifestyle lies within the purpose of the Society. Members are entitled to all rights and privileges of the Society. Members may vote, serve on committees and be elected to office. Members have a listing in the Web Site Directory, are eligible for special events and society discounts. Members are to serve on at least one committee and attend general meetings whenever possible. Annual dues: $50.00.

Total fee: _____________                                                              Referred by: _____________________________

Section 3 ~ General Information
Describe your holistically oriented services or products, or describe any interests that are compatible with the Society's mission:

How long have you been in this field?

What is your experience in this field?

Describe the products or services you or your business offer:

What do you hope to receive as a member of this organization?

What talents or skills do you feel you can contribute to this organization?

Section 4 ~ Mission Statement and Purpose
We are a group of women and men of Hunterdon County whose professions, avocation, or lifestyles are dedicated to enhancing and facilitating holistic, conscious living. Our purpose is to bring people together who are dedicated to promoting, educating, and supporting the growth and nourishment of health, healing and holistic living in Hunterdon County and surrounding communities.

Your Signature: ___________________________________

Section 5 ~ Membership Committee Use Only:

Date: __________________
Comments: _____________________________________________________________
Membership #: __________________
Authorized Signature: __________________________________