Please print & fill out this form.
The information you provide is private and is never sold/shared with any outside individual or mailing list.
Primary communications with members is via email.
Today's Date: ___________________ [______ ] New Member [______ ] Renewal
(If Renewal, Enter Name or Other Changes)
Name(s): _______________________________ and _________________________________
Street Address : ____________________________________________
Zip Code : __________________
Best Phone : (_____) _________________
Email Address (1): __________________________________________
Email Address (2): __________________________________________
Seasonal Resident? __________ Year Round Resident? ___________
NH Home Town: ______________________
Dues are $10 per year - per person and due each January 1st. Make checks payable to "The New Hampshire Club of The Villages". Submit this form at the next meeting.
Club Use:
$_____________ Date:____________
Cash __________ Check # __________
Roster _________ Email ____________
The information you provide is private and is never sold/shared with any outside individual or mailing list.
Primary communications with members is via email.
PLEASE PRINT ALL REQUESTED INFORMATION
Today's Date: ___________________ [______ ] New Member [______ ] Renewal
(If Renewal, Enter Name or Other Changes)
Name(s): _______________________________ and _________________________________
Street Address : ____________________________________________
Zip Code : __________________
Best Phone : (_____) _________________
Email Address (1): __________________________________________
Email Address (2): __________________________________________
Seasonal Resident? __________ Year Round Resident? ___________
NH Home Town: ______________________
Dues are $10 per year - per person and due each January 1st. Make checks payable to "The New Hampshire Club of The Villages". Submit this form at the next meeting.
Club Use:
$_____________ Date:____________
Cash __________ Check # __________
Roster _________ Email ____________
