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CLSPIA Membership Form
CLSPIA -- 5300 Soda Bay Road, Kelseyville, CA 95451
Annual CLSPIA membership fees for 2014 are payable 1.)
by
credit card through PayPal, or 2.) by check
.
1.) PAYPAL --
To pay online by
credit card
, click on PayPal icon below left; please
make membership choice
on PayPal link.
2.)To pay by CHECK, please fill out form, check memberships that apply, and mail check to CLSPIA (address above).
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
If paying by CHECK, please check those that apply and mail check to CLSPIA (address above):
*
Individual ($10)
Family ($18)
Business ($50)
Patron ($100)
Gift membership for another
Interested in volunteering at the Park? Please check any and all.
*
Visitor Center Docent
Board of Directors
Park Newsletter
Guiding Nature Hikes
Maintenance - Grounds cleanup
Other
Submit
Membership Options
Individual $10.00 USD
Family $18.00 USD
Business $50.00 USD
Patron $100.00 USD
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