PWDSNE Membership Renewal Form

Annual dues should be submitted by February 28.
Dues are $20 for an Individual or $25 for a family.
Please make checks payable to: PWDsNE

Please fill out this form, then Print a screen shot of name and address and mail with a check to:
Karen Kirby Ash, 7 Stuart Circle, Moultonboro, NH 03254-4756

Any information given on this application is considered private and will be used solely
by the club for the express purpose of membership consideration into this club.

Please do not forget to hit SUBMIT button at end of form when done.

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