STLC MEMBERSHIP APPLICATION

DUES AND LEGAL DEFENSE DONATIONS

We need your support and involvement. Our membership runs January through December and dues are $5.00 per person or $10.00 per couple. Donations to the Legal Defense fund will be greatly appreciated as contributions have declined the last few years. Checks should be made payable to “Save The Lakes Coalition”, PO Box 511, Hoodsport, WA  98548.  When the Save The Lakes Coalition dissolves, any funds remaining in the treasury will be donated to our local Lake Cushman Fire District 18.

Name ________________________________________________________

Address ______________________________________________________

City/State _____________________________________________________

*E-mail address _________________________________________________

  Check if you would like email verification of your donation 

Division Number ____________   Lot Number ____________

Annual Dues:  $5.00 per person ____________ 

                          $10.00 per couple ____________

Legal Defense Fund Contribution __________

Total amount enclosed:                  __________

Thank you from the Officers and Directors of Save the Lakes Coalition

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