Membership Form

Welcome, thank you for your interest in supporting CLRMA. Whether you are a new member or returning, your contribution helps to continue the mission of this great organization. To sign up on line select the category and number of years from the table below.

Here are our prices for each category and number of years:

Category 1-year 2-year 3-year
Individual $20 $35 $50
Organization $85 $140 $170
Joint NALMS/CLRMA $75.00
Student $10 $15 $20
Lake Volunteer FREE

Bold fields indicate required fields
Category:
Number of Years:

Full Name: Phone:
Address: Fax:
City: Email:
State: Confirm Email:
Zip code:

# Years Volunteering:
Lakes where you volunteer:

Organization:

Member 1:  Primary Contact Member 2:  Primary Contact
Full Name: Full Name:
Address: Address:
City: City:
State: State:
Zip code: Zip code:
Phone: Phone:
Fax: Fax:
Email: Email:
Confirm Email: Confirm Email:

Member 3:  Primary Contact Member 4:  Primary Contact
Full Name: Full Name:
Address: Address:
City: City:
State: State:
Zip code: Zip code:
Phone: Phone:
Fax: Fax:
Email: Email:
Confirm Email: Confirm Email:

Member 5:  Primary Contact
Full Name:
Address:
City:
State:
Zip code:
Phone:
Fax:
Email:
Confirm Email:

Type verification image: verification image, type it in the box