Town of Old Lyme, CT
52 Lyme St, Old Lyme, CT 06371
ph: (860) 434-1605
Ethics Commission Application Now Available Online
Town of Old Lyme
Ethics Commission Application


Name:

Address:

Age:                                                    Sex:    M/F  (circle one)

Elector in Old Lyme:  Y/N  (circle one)         Resident for ____ years

Employment history (brief):




Political Affiliation:  D       R       I       Other  (circle one)     

Community Involvement (brief):







Other relevant information:





________________________                        ______________________
Signature                                               Date

Please return by May 1, 2008 to Irene Carnell, Town Clerk, 52 Lyme St, Old Lyme, CT, 06371, or by fax to:  860-434-1400,  or by email to jcollins@sswbgg.com