Name: __________________________________________________________________________

Local Address: ___________________________________________________________________

________________________________________________________________________________

Local Telephone Number: __________________________________________________________

Check where applicable:  Property Owner _____  Renter _____  Island Resident _____

If Renter, Owner’s Name:  __________________________________________________________

 

Item	Quantity	Price Each	Subtotal
Decal # 1	1	$4.00	$4.00
Additional Decals		$1.00
Postage & Handling	1	$1.00	$1.00
	TOTAL AMOUNT ENCLOSED

 

Address where decal(s) should be mailed:

Street/PO Box ____________________________________________________________

City _______________________________________State ________ Zip ______________

 

Please mail your completed application, along with your payment, to:

Town of Tuftonboro

P.O. Box 98

Center Tuftonboro, NH 03816-0098