NAME:_______________________________________

ADDRESS:____________________________________

TELEPHONE:_________________________________

In order to make my contribution to the growth and welfare of the Town of Raymond, I am willing to volunteer to serve on the following Board or Committee.

My preference is indicated by 1, 2, 3, etc.

___Board of Adjustment                                   ___Solid Waste/Recycling Committee
___Community Stewardship Committee          ___Community Development Block Grant Advisory Board
___Cemetery Advisory Board                          ___Conservation Commission
___Parks & Recreation Advisory Board           ___Historic District Commission
___Cable Committee

Attach a brief statement as to why you feel qualified to serve as indicated above, and mail to:


Board of Selectmen
attn: Chairman of the Board
4 Epping Street
Town Hall
Raymond, New Hampshire 03077



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