Brookline PAX logo think globally act locally

Please Join Brookline PAX
or Renew Your Membership Today!

Please make your dues check payable to Brookline PAX. Fill out, print and return this form and your dues to:

Gary Jones, Treasurer
Brookline PAX
P.O. Box 470525
Brookline, MA 02447-0525

Thank you!

Yes, I'd like to join Brookline PAX    Yes I'd like renew my membership in Brookline PAX.

Here is my dues contribution:
Regular Membership: Single $30   Regular: Family $50
Fixed income or Student: Single $20    Fixed Income or Student: Family $30
 Sustaining: $50    Patron: $100


Street Address:

City:  State:  ZIP: 

Telephone:  Email: 

 I'd like to get more involved in PAX activities. I will contact: Neil Gordan (

Here are the names and addresses of friends or neighbors who should be on the PAX list: