ILA Membership

ILA Membership Application

To apply for membership complete all questions. Please send payment to Treasurer, ILA, PO Box 973 Sabael, NY 12864 or bring check or cash to the Annual Meeting, or pay via bank ACH transfer (ie Bill Pay). If paying by ACH Transfer, use your first and last name as your account number. Make payments payable to "Indian Lake Association, ADK, Inc." You can also now pay by credit card by completing the credit card information below.
New or renewing membership? (If renewing please complete all info even if you think we have it.)
Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
example@example.com
Home Number
Cellular Number
Camp Number
Camp Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you willing to participate in the ILA Networking Directory?

Yes - I would love to be a mentor - send me more infoYes - I need mentoring - sign me upNope
If interested in the ILA Networking Directory - provide area of expertise/interest.
Attending the Annual Breakfast Meeting?
How Many attending? Breakfast. Non-members $20. Children under 12 $10.
At our annual meeting, we will be electing one director to succeed Autumn Blanchard whose last term is 2024. Also, Glenn Van Norstrand, Daniel Way and Jon Voorhees will stand for re-election in their respective offices. We will also be voting to amend the by laws to change our fiscal year. I will not be attending the Annual Meeting, I hereby designate Helen Glass, ILA Secretary as my proxy for all matters that come before the board.
Last Name
Signature

Powered by Jotform SignClear
Method of Payment
Date

MonthDayYear
Date

Membership Levels

GOLD Membership - 3 Year

$80.00

SILVER Membership - 2 Years

$55.00

BRONZE Membership - 1 year

$30.00

Donations Gladly Accepted & Greatly AppreciatedPlease choose your donation amount by choosing quantities in multiples of $10.00

$10.00 Quantity

Total

$0.00

Credit Card

Please verify that you are human*
Should be Empty:

ILA Membership Application

Credit Card