Santa Fe Lake Dwellers Association, Inc.
MEMBERSHIP FORM
Annual family membership dues are only $25.00
Additional contributions are always helpful and gratefully accepted!
Please fill out the form below and mail with your check to;
SFLDA, Inc.
P.O. Box 1268
Melrose, FL 32666
Please make checks payable to SFLDA, Inc.
Please check one:
[ ] Membership renewal [ ] New Member
Membership category:
[ ] $25 annual dues [ ] $_____ What I can pay [ ] $______ additional contribution
My / Our Interests:
[ ] Clean-Up [ ] Political Action [ ] Social [ ] Water Quality [ ] Fundraising
[ ] Membership [ ] Phone tree [ ] Other (please explain): __________________________
Please Print:
Name_______________________________________________________________
Address ______________________________
City ___________________ State _____ Zip _________
Phone ( ________ ) ____________________ Alt. Phone ( ________ ) ____________________
Email ______________________________ Alt. Email ______________________________
Preferred method of contact (please check one):
[ ] Email [ ] Alt Email [ ] Phone [ ] Alt Phone [ ] US Mail |
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