NH Research and Evaluation Group, LLC Membership Application 2012 2013

1. NHREG Membership Registration - Current and New Members

By completing the information on this page, you are agreeing to become a formal member of the New Hampshire Research and Evaluation Group, LLC for the 2012/2013 year (7/1/12 through 6/30/13).

Question Title

* 1. Please provide your contact information below

* First: *

* Last: *

Title:

Organization:

Phone:

* Email Address: *

Question Title

* 2. What are your expectations concerning your membership this year? What would define a successful partnership from your point of view?

Question Title

* 3. Do you want the information for your name, title, organization, phone number, and email address included in the member directory provided to all other members?

Yes

Question Title

* 4. Are you a new member since 9/1/12? (e.g. you have not received any emails from the research group prior 9/1/12)

Yes

Question Title

* 1. Please provide your contact information below

Question Title

* 2. What are your expectations concerning your membership this year? What would define a successful partnership from your point of view?

Question Title

* 3. Do you want the information for your name, title, organization, phone number, and email address included in the member directory provided to all other members?

Question Title

* 4. Are you a new member since 9/1/12? (e.g. you have not received any emails from the research group prior 9/1/12)

Question Title

* 5. If no, what year did you first join?