Dalhart Area Chamber of Commerce

New Neighbor Program Registration

Name for membership __________________________________________

Your name __________________________________________

Mailing address __________________________________________

__________________________________________

Telephones Home____________Work_________Cell___________

Fax & e-mail Fax #________________e-mail___________________

How would you prefer to be contacted? phone fax e-mail mail

We will contact you at the above address, when additional information is needed for the packets.

Return Completed form to the Dalhart Area Chamber at 102 E. 7^th Street, by fax to 806-244-4945.