COVER PAGE:

This page will be recorded for the purpose of contact and will not be used during the committee's selection process.

NAME:

ADDRESS:

PHONE NUMBER:

Please return by March 27^th to:

New Hartford Women's Club
c/o Kathryn Itter
438 West Hill Road
New Hartford, CT 06057
or email them to: itter@snet.net


Thank you for your application.

Link to next page of application