Membership and Donation Form Membership Year August 1, 2025- July 31, 2026 Membership Type * Families, Businesses and Organizations may add a second contact person's name and email (see below). Individual Membership Family Membership Business Organization Business or Organization Name (if applicable) Is this a Gift Membership? No (move on to Primary Member info) Yes (enter Donor Name and Email below) Gift Membership Donor Email (if applicable) Gift Membership Donor Name (if applicable - rest of form is member data) First Name Last Name Primary Member Email * Primary Member Name * First Name Last Name Primary Member Phone (mobile preferred) * (###) ### #### Additional Member Email (optional) Additional Member Name (optional) First Name Last Name Additional Member Phone (mobile preferred, optional) (###) ### #### Mailing Street Address or PO Box * Address where you would like to receive FOLW communications Town/City * State * Zip Code * Lake Area Property E-911 Address (if applicable) Lake Property Town (if applicable) Seasonal or Year-Round (if applicable) Is your lake property seasonal or year-round? Seasonal Year-round Donation/Membership Level * Alewife - $25 Turtle - $50 Loon - $100 Heron - $250 Osprey - $500 Eagle - over $500 Means of Payment * PayPal Direct Credit/Debit Check by mail (PO Box 73, Unity 04988) Check by hand-delivery Cash by hand-delivery My Interests (optional) I'd like to be involved with... Events & Socializing Water Quality Monitoring Invasive Monitoring & Protection Communications Fundraising General Volunteering Board Service Fisheries Boating Safety Other - Contact me Renewal Notice Preference * How do you wish to be contacted for your renewal notice? Email Snail Mail Phone Call Text Message Additional Information What else would you like to share or ask? Thanks so much for joining or renewing! We will be in touch to get you connected with others who share your interests. Or don’t hesitate to reach out to friends@lakewinnecook.org at any time with ideas, questions or concerns.
