For more information about us, please contact:

Rep. Mckim W. Mitchell
P.O. Box 6
Chesterfield, NH 03443-0006

e-mail: mckimmitchell@msn.com

For a printable version of this form please CLICK HERE


To immediately become a member please provide the following:

Name: _________________________________________________

Address: _______________________________________________

Town/City: _____________________________________________

State & Zip: ____________________________________________

Phone # and/or e-mail: ___________________________________

Membership Fee: $25.____ or more____if you can, less if you can't

Checks made payable to: NH Stonewall Democrats
P.O. Box 6
Chesterfield, NH 03443-0006

For a printable version of this form please CLICK HERE