New Hampshire Maple Producers' Association - Membership Application Page



Application For Membership
Please complete this application form, then print and mail it to us for membership.

Please check the appropriate boxes below. New Member? Member 2007? Today's Date:
Are you receiving the Maple Digest? Yes No
Annual Dues: $20.00
Members are being asked to make a voluntary donation to the Promotion Committee Fund. Money raised will be used for promotion. This is in addition to the annual dues. Below please review the suggested donation schedule and if you'd like to contribute select the option you prefer.
1 - 1,000 taps @ $ 5.00 1,000 - 2,500 taps @ $10.00 4,001 - 5,500 taps @ $30.00 2,501 - 4,000 taps @ $20.00 5,500 plus taps @ $40.00
Number of Taps: Gallons Produced last year:
Name:
Farm or Sugarhouse Name:
Mailing Address:
Town, State, Zip Code:	,
County:
Telephone:
E- mail:

Make checks payable to: NH Maple Producers Assoc. & mail to: NH Maple Producers Assoc. Don Lassonde, 402 Route 103 East, Warner, NH 03278 (603)456-6052
NH Maple Producers © 2007-2001 All Rights Reserved. Unauthorized use or duplication prohibited

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