PO Box 389
Londonderry, NH 03053
| Londonderry Trailways Membership Application | |||
| Name |
_________________________________________ |
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| Street |
_________________________________________ |
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| Town, State, Zip |
_________________________________________ |
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| E-Mail address |
_________________________________________ |
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| Phone number |
_________________________________________ |
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| Choose a membership level: | |||
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Benefactor | $500 | |
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Supporting Member | $100 | |
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Individual/Family | $20 | |
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Student | $10 | |
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Additional Donation |
$_____ | |
| Total enclosed: |
$_____ |
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| Payment: Please send check to: | Londonderry Trailways PO Box 389 Londonderry, NH 03053 |
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| Choose a newsletter format: | |||
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I would like to receive my copy of the club newsletter electronically, by e-mail | ||
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I would like to receive my copy of the club newsletter on paper, by US post. | ||
| List any areas of special
interest, or special skills: |
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I would like to donate my
professional services to Londonderry Trailways. |
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| My occupation is: _________________________________________ |
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I want to be notified of Trail
Days, to build and maintain our network of trails |
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| I am interested in helping
out in the following areas: |
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Newsletter |
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Fund Raising |
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Grant writing |
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Membership |
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Website design |
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Old Home Days |
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Other: ___________________________________________ |
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Call me! I want to become involved in some way. | ||
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I can not be active at this time, but I still want to support the club's efforts. | ||