Online Application

To apply for memberships online, complete and submit the form below.  Your application will be reviewed and your status addressed within 10 working days. Your privacy is respected and your transactions are secure.  If you prefer to apply for membership by mail, a printable Mail-In Application is available for your use.
 
If you have any questions regarding Member Levels and Benefits or Membership Terms, contact Member Services for additional information.  In addition, if you have any problems submitting this application, notify Website Services for assistance.
 
Member Information

(* Denotes Required Fields)

First Name*

Last Name*

Craft / Community Name

Business / Organization

Address 1* Apt

Address 2 

City*

State*

Zip*

Phone Number

Email Address*

Date of Birth*  

 
Membership Level* Expected Payment Method*
$10.00 Individual (Tier 1) Check
$10.00 Individual (Tier 2) Money Order

$15.00 Group

  
$15.00 Family  
$25.00 Business  
   
   

Acknowledgement*
 

I acknowledge that I am at least 18 years of age and have read and understand the Council By-Laws and Terms of Service presented on this site.*

MEMBERSHIP INFO

 

 
   
 © 2009 Northeast Council of W.I.C.C.A.
Wiccans Interested in Creating Community Awareness
Post Office Box 357• North Greece, New York 14515
info@necofwicca.org