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MEMBERSHIP APPLICATION |
Company name:
Mailing address:
Physical address:
Local phone #: FAX#
Toll-free #: Website:
Main contact name: email address:
Year established:
______ Current number of employees: _____ full time / _____ part time
Company officers /
owners / principle representatives:
Name Title
Services & Specialties:
Service Areas:
Other professional affiliations:
How did you hear of NHSA?
Applicant’s Signature Date
Printed Title
Please
enclose your payment-
For SIGN COMPANIES: For
ASSOCIATE MEMBERS:
1
- 3 Employees $ 75.00 Sign supply
companies $ 200.00
4
- 6 Employees $ 125.00 Product
manufacturer $ 100.00
7
- 9 Employees $ 175.00 Company/Individual
interested in
10+ Employees $ 225.00 promoting the
cause $ 100.00
Please
make checks payable to: New Hampshire Sign Association
Mail to: New Hampshire Sign Association,
Attn: Rick Westergren, Treasurer
c/o
Poyant Signs, 89 Route 101-A, Amherst, NH 03031
2008 Term:
PRESIDENT: Jerome Holder J.C. Signs, Wolfeboro Falls, N.H. 603-569-5335
Immediate Past
President: Mike Leary Sundance Signs, Dover, N.H. 603-742-1517
VICE PRESIDENT: Paul Tripp Classic
Signs, Amherst, N.H. 603-883-0384
TREASURER: Rick Westergren Poyant Signs, Amherst, N.H. 603-673-4233
SECRETARY: Pam Barlett Barlo Signs, Hudson, N.H. 603-882-2638
~ NHSA SINCE 1976 ~ MACK AWARDS
SINCE 1983 ~ www.signsnh.com