Please complete the following form and mail to:

Junior League of Greater New Haven
703 Whitney Avenue
New Haven, CT 06511

Name:	_________________________
Address:	_________________________
City:	_________________________
State:	_________________________
Zip:	_________________________
Phone (day):	_________________________
Phone (evening):	_________________________
Employment:	_________________________
Full Time      Part Time      Student      Not Employed
Yes, I am interested in learning more about the Junior League of Greater New Haven. Please contact me regarding:  Membership information and application.  How my organization or business might be able to work with the JLGNH.  Other:___________________________________________
For additional information, please call (203) 562-5076.