2008-2009
Eidelweiss Property Owners' Association

Membership Application
Eligibility: All persons including their parents or children who own land in Eidelweiss.

Please print clearly

Name
MAILING ADDRESS
Street
City
State		Zip Code:

Phone Number
e-mail address

Would you like to receive e-mail about important news or information?

Yes:______

No:_______

SECONDARY OWNER INFORMATION

EIDELWEISS PROPERTY INFORMATION
Map & Lot Number
Street Address
Eidelweiss Phone Number

Other Eidelweiss Property:

Membership Type - Check One below	Print this form and mail to:
Home Owner Dues $30	EPOA
Land Owner Dues $15	1 Eidelweiss Drive
Make checks payable to: EPOA	Madison, NH 03849

Do you have a house number with the Eidelweiss Crest?

Yes:________

No:_________

EPOA Membership Year is May 1st to April 30th