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IF you prefer to mail with a check, please print this page and mail to:

New Hampshire Adjuster’s Association
7 Colby Court, Box 319
Bedford, NH 03110-0684

2010 MEMBERSHIP/RENEWAL: (FROM JANUARY 1st to DECEMBER 31st)
FYI: 2010 renewal begins January 1st!

The New Hampshire Adjusters Association membership is open to all insurance adjusters who hold a valid license to adjust claims from the NH Insurance Department.
This membership form must be completed and returned to the NHAA Secretary. All active Members for the current enrollment will be notified of the upcoming events sponsored by the NHAA and are eligible to attend sponsored events at a discounted rate The NHAA membership is renewed yearly. All notices of meeting and seminars are sent to members via email approximately one month prior as well as notices being posted on the NH Adjusters website. Please advise the Association of any address, employer or email changes for our records.
Adjusters who have fully retired (not actively working in the insurance industry in any capacity) are invited to join the association at no cost.
**PLEASE PRINT LEGIBLY**
Name
____________________________________________________________________________________________

Company
____________________________________________________________________________________________

Mailing Address
____________________________________________________________________________________________

____________________________________________________________________________________________

Email address:
____________________________________________________________________________________________
2010 ADJUSTER MEMBERSHIP: $30.00*

Adjusters License #:
________________________________________
Adjuster __ Appraiser: __
Required for discounts/credits)* Please return this entire form with a check for the requested membership fee, payable to: “New Hampshire Adjusters Association”
7 Colby Court, Box 319, Bedford, NH 03110
*non-adjusters cannot become NHAA members, however, can receive email notification of events at no cost. Please send an email with company, address and email information to info@nhadjusters.org .