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About Us Membership Meetings for 2008 Jan 16 (Snow Jan 30) April 15 July 16 October 15 |
Interested in joining NHAVA? Print out this application, fill it out and mail it to: NHAVA/Membership Committee PO Box 3364 Concord, NH 03302 - 3364 ************************************************************************************* Office Use Only: Enrollment Date__________ pd Check#____________Amount_________ I am willing to serve on the following committees: Communication_________ Legislative_________ Membership________ Newsletter_________ Program_________ Hospitality_________ Special Projects_________ Please include your membership fee when returning this form. Make check payable to NHAVA for $35.00. Complete all information below and please PRINT or TYPE. Name____________________________Title________________________ Organization Name_____________________________________________ SUPERVISOR'S NAME and TITLE _______________________________ CEO NAME and TITLE _________________________________________ Address (Home)_______________________________________________ City/Town _____________________ZIP Code _________ Address (Work) ___________________________________ City/Town _____________________ Zip Code ________ Work #_____________________ FAX # ________________________ E-Mail _____________________________________________ The membership has voted to give the NHAVA Board the authority to determine when to share the NHAVA Mailing List. Check here if you do not want your name included on the mailing list __________ |