Business & Professional Women of NH
PO Box 327
Concord, NH 03302

Membership Form

Membership for one full year to BPW/Foundation and BPW/NH is just $65.
Please make checks payable to BPW/NH.

Please complete form below as you would like it to appear in our membership directory.  Print out the form and send it along with a check to the above address.  You can also bring your membership form and check to the a monthly meeting.

PLEASE PRINT

Name:__________________________________________________________________

Mailing address:_________________________________________________________

________________________________________________________________________

Company or Business Name:_______________________________________________

Your position:____________________________________________________________

Business phone:__________________________________________________________

Optional, but desirable information:

Home phone: ___________________________________________________________

Fax: ___________________________________________________________________

E-mail:__________________________________________________________________

Please provide a brief description of your business:__________________________

________________________________________________________________________

For more information contact Kimberlie Hoffmann, President at 603-491-7570, kim@krkitchensandbaths.com.

BPW use only:

Date rec'd. ________    Date directory updated ________Added to database________