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Tel: (617) 722-2014 Tel: (617) 722-2130

Fax: (617 626-0246 Fax: (617) 626-0339
Email: james.lyons@mahouse.gov Email: Lenny.Mirra@

Home: Andover Home: West Newbury mahouse.gov

VOLUNTEER APPLICATION
TO SERVE ON A TOWN BOARD/COMMITTEE

If you are interested in serving on an appointed town committee, or if you have
expertise in an area which you would like to share with a town board or committee,
please complete the following and forward to:

Boxford Town Hall

Office of the Selectmen
7A Spofford Road
Boxford, MA 01921
978-887-6000, Ext. 502

Name

Address

Telephone: Home Office Fax:

COMMITTEE INTEREST:

Brief summary of your background: (you may enclose a separate letter if desired)

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