Miscellaneous CLIA Payment Form

Cossayuna Lake Improvement Association

Miscellaneous CLIA Payment Form
Use this form to make a custom payment to CLIA. Please include the reason for the payment (required field).
Name*

First NameLast Name
Reason for the payment*
Payment Amount

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USD
Contact Number*
Email Address*
Personal email address preferred.
Select a payment method at the bottom of the form. If paying by credit or debit card, fill out your card information and click on the "Submit" button.
CLIA is a 501(c)3 nonprofit organization. Donations are tax exempt to the extent of the law. A copy of our most recently filed financial report is available from the Charities Registry on the New York State Attorney General's website (www.charitiesnyc.com) or, upon request, by contacting the New York State Attorney General, Charities Bureau, 28 Liberty Street, New York, NY 10005 or us at POB 81, Cossayuna, NY 12823-0081. You may also contact the New York State Office of the Attorney General at 212.416.8401.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Cossayuna Lake Improvement Association