FRIENDS OF NACPM MEMBERSHIP FORM
I WANT TO JOIN! (Please print and mail this form along with your donation.)
CITY_____________________________STATE/PROV___________ ZIP/POSTAL CODE_____________
HOME PHONE__________________________SECOND PHONE_______________________________
E-MAIL ADDRESS _____________________________
(When we use e-mail to communicate with you it lowers the overhead for the organization and protects our funds for other work.)
$___________ gift to NACPM-Any amount would be greatly appreciated!
WE GREATLY APPRECIATE YOUR SUPPORT!
Please mail this form with your check or money order made out to NACPM to:
PO Box 340
Keene, NH 03431