Renewal dues are as follows:

Member:  $ 40.00

Associate Member:  $35.00

Student Member:  $20.00


Please make check payable to SENH, and send with completed bottom portion of this form to:

SENH
P.O. Box 226
Manchester, NH 03105-0226


BY January 1, 2002


*If sending one check for more than one person please send a slip for each person.

PLEASE FILL OUT BOTTOM PORTION COMPLETLEY, THIS FORM IS USED FOR CONFIRMING AND UPDATING LISTS!

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Please circle one:
Member  Associate Member  Student Member


NAME                 
FIRM             
             
ADDRESS             
             
PHONE        FAX     E-MAIL   

P.E. YES     NO        WHICH STATE(S)       

Check #     Check Amount $