Please print this form, fill out and mail.

Greensboro Association 2006 Directory of Members

Dear Member or Potential Member (s):

Please complete and return this form with your annual dues of $20.00, (single or family) by March 15. Checks should be payable to the Greensboro Association. Your membership is important to us, but if we don't hear from you for two years we will, with regreat, have to drop you from the Directory.

Name(s)(please print) _____________________________________________

My current listing remains the same (yes)---------- (no)-------- please check one.

Changes or new listings:

Names(s) as should be printed_______________________________________

Winter Address___________________________________________________

Optional: Winter phone number ______________________________________
                Email Address ____________________________________________
                Summer phone number_____________________________________

Occupation(s)_____________________________________________________

Maiden name where applicable _______________________________________

Greensboro 911 address ____________________________________________

Names of children 18 and under. Children over 18 should have their own membership.
_______________________________________________________________

_______________________________________________________________

Please list on the reverse side, names and addresses of adult children or others who may be interested in membership. Your prompt return of this form will be most appreciated. Send it to Greensboro Association, P.O. Box 59, Greensboro, VT 05841. Absolute deadline for inclusion in the directory is May 20th.

                                                                                            Francy Hays, Editor
                                                                                        36 Cherry Blossom Way
                                                                                             Milton, MA 02186
                                                                                               617-698-3548

 

Amount Enclosed ________________Dues $20
                                                            General Contribution___________
                                                            Fireworks Contribution__________
                                                            TOTAL_______________________