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Dedicated to preserving and protecting our lakes for the responsible and equitable enjoyment of everyone

New Hampshire Lakes Association
Membership Application for Individuals/Families

Yes, we would like to:
 become a member of the NH Lakes Association
renew our annual membership (please be sure to complete the entire form, so we can update our records.)
Contribution:
Amount:

Permanent Address
 
Name:
Address:
Town:
State:
   Zip:  
Telephone:
E-mail:
 
Seasonal Address
 
Address:
  Dates of Seasonal Address:
Town:
  From:
   To:   
State:
Zip:
 
Telephone:
       Lake Resident
E-mail:
  Name of Lake:
 
Send info about volunteer opportunities
I am willing to contact my legislators - send info.


THANK YOU! Your contribution is deductible to the extent permitted by law.




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New Hampshire Lakes Association
3 Silk Farm Road
Concord, NH 03301
Phone:(603) 226-0299
E-mail:

Copyright © 2001 - 2006 by New Hampshire Lakes Association.


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