Associate Membership Application NH Germanic Association 3 Alder Way, Bedford, NH 03110-5501 Write checks to NHGA-GLS

Please print name and address or use return mail sticker. ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ Telephone number and e-mail address: _________________________________________________ _________________________________________________  Your dues constitute a tax-deductible contribution to a non-profit organization. You will receive an e-mail confirmation. Your signature: ___________________________________________________ NH Germanic Association Non-profit organization no. 23 72 32 76 registered in the  State of New Hampshire

Membership Rates $10 per year. Your dues provide support for the GLS website and our community outreach activities. You can pay your membership dues at your own convenience once a year.