Become A Member
WE NEED YOUR HELP!
In order to continue our work in the Damariscotta Lake Watershed, we need your
support! If you are not already a member, please take a moment to print out this form
and send it to us at:
Damariscotta Lake Watershed Association
PO Box 3
Jefferson, ME 04348
Phone 207/549-3836 Fax 207/549-3852
Email dlwa@roadrunner.com
I would like to become a member of the DLWA!!!
___ Regular Member……………………$15
___ Supporting Member…….…………..$25
___ Patron……………………………….$50
___ Sponsor……………………………..$100
___ Sustaining Member………………….$500
___ Other
Please make checks payable to DLWA
DLWA is a 501 (c) 3 not-for profit organization in accordance with IRS code
__________________________ Watershed Address (if different)
Name
__________________________ _______________________
Street Address Address
__________________________ _______________________
City Town
__________________________ _______________________
State/Zip State/ZIP
__________________________ _______________________
Mailing address (if different) Telephone
_______________________________
City Do you want mail sent to your watershed address?
_______________________________ ____Yes____No
State/ZIP If Yes, dates: From ___________ to __________
__________________________
Telephone
__________________________