Adirondack Lakes Association Membership Form
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Name of Lake Association or Individual
*
Location (County)
*
Contact Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Website
Membership Levels
*
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( X )
Small Associations (10-74 members)
$
50.00
All other (75 or more members)
$
75.00
Individuals Membership of a 2019 ALA Member Lake Association
$
20.00
Individual Membership (non-lake association member)
$
25.00
Student Membership
$
10.00
Partners/Local Government
$
100.00
Corporate Membership
$
150.00
Total
$
0.00
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