Membership Form – Shadow Lake Association

Your dues go for website, dues for partner organizations, insurance, printing, supplies, and any other miscellaneous SLA board expenses.

Name*
First Last
Email*

We will not share, only for our organization’s communications.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

We will not share your address information.
Annual Dues Quantity
Price: $35.00
Price per Camp
Would you like to make boat wash donation?*
- Yes
- No
Boat Wash Donation Amount*

Suggested $50; more if so inclined
Wish to remain Anonymous?*
- Yes, keep my donation private.
- No, it is ok to that my donation is made public.
Would you like to make in Memoriam Donation?*
- Yes
- No
In Memoriam Donation Amount*
In Memoriam For Whom*
Name of Individual Commemorated
Would you like to pay with Check or Card/PayPal?*
- Check
- Card/PayPal
To use credit card or PayPal, we add 1.9% plus .49 fee for processing online payment
Processing Fee
Price: $0.00
Total
$0.00
Payment Method

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Comments

Address to Send Check: William Koch, Treasurer – SLA; 6 North Street, Barre, VT 05641

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