Membership Payment – Lakes Preservation League

Membership Application

First Name(Required)

Last Name(Required)

Is this a renewal or are you a new member?(Required)

Renewal

New Member

Are there any changes to your addresses, phone number or e-mail?(Required)

Yes

Phone(Required)

Email(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Lake Address(Required)

Street Address Address Line 2 City State ZIP Code

What information do you need to update? Select all that apply.(Required)

Phone

E-Mail

Mailing Address

Lake Address

Phone(Required)

Email(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Lake Address(Required)

Street Address Address Line 2 City State ZIP Code

I understand my LPL Newsletter will be sent via e-mail unless I request a mailed paper copy by checking this box.

Please send me a mailed paper copy in addition to e-mail

** Leave unchecked if e-mail only is fine.

Enter the total amount you will be paying. (Min. $25)(Required)

Membership is $25.00. If you wish to donate to the Christmas Basket Program or any other LPL program, please add that on top of your $25.00 dues.

Payment Method