Name: | _________________________________________________________________ | # of dogs owned: | __________________ | ||
Address: | _________________________________________________________________ | ||||
City: | ___________________________________________ | State: | ____________ | Zip: | ___________ |
Home Phone: | __________________________ | Cell Phone: | __________________________ | ||
Email: | _________________________________________________________________ | ||||
Signature: | _________________________________________________________________ |
Membership fee is $20.00 per single membership or $30.00 per family membership.
Please make check payable to ’NHMA’
Please mail to NHMA c/o Bob Heckman, 53 Wadleigh Point Rd., Kingston, NH 03848