Association for the Preservation of Clear Lake Membership Form


*Disclaimer: This information will only be used by the Association for the Preservation of Clear Lake for lake restoration efforts.

First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Email: (optional)
Phone: (optional)

Association Membership Dues/Donations:* (All donations are tax deductible)
   $10 (Individual Membership)
   $20 (Family Membership)
   $50
   $100
   $250
   $500
   Other

I would like to assist the Association in the following areas (select all that apply):
   Making Legislative Contacts
   Fund Raising
   Serving on the Board of Directors


*Please make checks payable to the Association For the Preservation of Clear Lake and mail to:
Association for the Preservation of Clear Lake
PO Box 54
Clear Lake, IA 50428

All members will receive a quarterly newsletter to update them on current lake restoration activities.

The Association for the Preservation of Clear Lake is a 501(c)(3) non profit organization.

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