Membership Application   Please Check Appropriate Category Applied for Below:   Founder: ____  Benefactor:______   Family:______  Individual:________  Student:_______ Honorary: ________   Founders:  This group consists of those members, whose efforts and initial financial contribution helped the start-up of INELI.  Each member will or has contributed $500.00 in the inception and will continue to contribute $500.00 per year towards annual dues and, in addition, is expected to support financially, any projects requiring capital.   Benefactors:  These are members and their immediate families (children under 18 years), who will contribute $500.00 or more per year towards annual dues.   Family: Annual Dues of $150.00 per member and immediate family (children under 18 years)   Individual: Annual Dues of $100.00 per single adult.   Student: Any student, full or part time not covered by Family membership; Annual dues $25.00   Honorary: These are members appointed by the Executive Committee and recognizes those who are retired or those who contribute their time and efforts towards the success of INELI, without any compensation Note:  Dues are used towards operating expenses including celebration of festivals!             Dues and donations are Tax Deductible   Date:_______________________ Name:__________________________________________________________ Number of Family Members:______________ Name of Spouse:___________________________________ Names of Children under 18 years:             1._________________________       2.______________________             3._________________________       4.______________________ Addresses:             (H)_____________________________________________________________________             (W)____________________________________________________________________ Contact Numbers: (H)_________________________  (W)______________________  (Cell)_________________ Email:_________________________ Place of Birth____________________________ Occupation: (member)__________________________   (spouse)___________________ PIO  (y)_____  (n)___________ I.N.E.L.I.  Indian Network of Eastern Long Island 36 Osprey Avenue    Riverhead  NY   11901   www.INELI.org 631-506-8931     631-506-8930 fax I.N.E.L.I.  Indian Network of Eastern Long Island 36 Osprey Avenue    Riverhead  NY   11901   www.INELI.org 631-506-8931     631-506-8930 fax I.N.E.L.I.  Indian Network of Eastern Long Island 36 Osprey Avenue    Riverhead  NY   11901   www.INELI.org 631-506-8931     631-506-8930 fax     Please make application and check payable to INELI to: I.N.E.L.I.  Indian Network of Eastern Long Island 36 Osprey Avenue    Riverhead  NY   11901