OF VILLAGE DISTRICTS
MEMBERSHIP APPLICATION
District: ________________________________________________________________
Mailing Address: ________________________________________________________
_________________________________________________________
City/Town: _____________________________________________
Zip Code: ______________________________________________
Contact Person: __________________________________________________________
Position: _________________________________
Phone: __________________________ FAX: _____________________________
e-Mail: __________________________ Web Page: _________________________
District Purpose or Affiliation: ______________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Membership Type: _____ Regular ____ Affiliate
Return to: NH
Association of Village Districts,
P. O. Box 1028 Concord, NH 03302