Individual/Family Membership Form

New Hampshire Lakes Association

Yes, count me(us) in. I(We) support New Hampshire's only statewide, member-supported, nonprofit organization dedicated to the protection of New Hampshire's lakes and their watersheds.
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Full Name*

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E-mail*
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Address*

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Seasonal Address

Street Address

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Contact me with information on volunteering

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Phone Number

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Membership Levels

Lakes Enthusiast$50.00

Lakes Enthusiast (see note)$35.00

Lakes Steward$100.00

Lakes Advocate$250.00

Lakes Protector$500.00

Lakes Leadership Circle$1,000.00

Total $0.00

Payment Method
Credit	Express

Note.....

The $35 Lakes Enthusiast level is a special discount for those who are currently members of their local lake or watershed association.
Full name of my local association.
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New Hampshire Lakes Association