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2021 Annual Dues
Member's name (s): _________________________________________________________________________________
Membership: $50
Donation: $____________________
Total: $______________________
Please make checks payable to"CLCA"
Print off and and mail to:
CLCA, PO Box 803, Center Conway, NH 03813
E-mail address: _______________________________________________________
2nd email address (optional): _______________________________________________________
Mailing Address: ________________________________________ Local Lake ___________________________________________
________________________________________ Address: ___________________________________________ ________________________________________ ___________________________________________
________________________________________ ___________________________________________
Phone Number: ______________________________________
(Optional)
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We are looking for volunteers - please let us know if you would like to help:
Yes, I'd like to help
Invasive Species Patrol
Loon Conservation
Lake Water Sampling
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