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PLA New Member and Renewal
On-line Application

Please fill in all fields for a new membership application, renewals need Name, email, and ID number (if known), and any other fields if changes are required.   For renewals, your ID Number is in the upper right corner of your invoice.   You may pay with a credit card using PayPal, you do not need to have or set up a PayPal account if you don't want one.

Unless you direct otherwise, all of the information will be published in our 2016 Membership Directory.   We do not share our membership database with any individual or organization.   Our deadline for updating the Directory is May 1, 2016 when we will send the information to print. Pay by April 30th for the Early Bird Draw!

The membership fee is $50 per year.   You may also make a tax deductible Voluntary Donation.

If you would like to have Pen Notes and the Directory mailed to you, please add 4 dollars in the shipping field to cover costs of mailing.

Member Name:    Required.
Second Member:  
ID Number:    For Renewals.
Mailing Address:  
Postal/ZIP Code:  
Phone (Winter):  
Phone (Summer):  
Primary email:    Required.
Second email:  
Lake Address:  
Family Members:  
Directory:     Please exclude from Membership Directory.
Shipping:     Please add 4 dollars if you want the directory mailed to you.
Total payment:   $ 50
  When fields above are filled, please click the Continue to Payment button below.

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Click Here for a downloadable paper application form.

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