MacDowell Club of Mountain Lakes, Inc.



Membership Form

Margaret Zufall Roberts, president

PO Box 417, Mount Tabor, NJ 07878.





Please complete the following information:


Name(s) ________________________________email____________________________




      Street address______________________________________________________






Membership categories

      Individual - $100/year           Family - $150/year

      I wish to make a donation in the amount of $________




Please make out checks to Margaret Z. Roberts.




Total amount included $_____________________

            Please send this form with check to:

            Margaret Z. Roberts

            PO Box 417

          Mount Tabor, NJ 07878


Thank you very, very much!