Green Lake Association Membership

Green Lake association On-LIne Membership Form
Step 1 of 2

Ready to renew your membership or become a new member? Our on-line membership page will lead you through the process to 1) submit your membership information and 2) submit your payment on-line through a secure, Paypal payment system.

* Required Information

Individual Membership—$80

Business Membership—$80

*Name:
*Property Address:

*City:
*State:	*Zip Code:
Phone Number:

My employer will match my donation. Please mail your employer match form to the Green Lake Association office.

Green Lake Association
PO Box 364
Green Lake, WI 54941

*Company Name:
*Contact Name:
*Address:

*City:
*State:	*Zip Code:
Phone Number:

Website Address:
Description: Please provide a brief description of how you would like your business listed in our membership directory.*

Do not publish our membership information in the annual directory.

The information provided above will be published in our annual directory, unless specifically requested otherwise. Our annual directory is printed each spring. Memberships submitted after April 1st will not be included in our annual directory.

Mailing Address

Summer Mailing Address

*Address:

*City:
*State:	*Zip Code:
Phone Number:
Dates at this address: From: To:

Address:

City:
State:	Zip Code:
Phone Number:
Dates at this address: From: To: Please provide us with your summer address only if it is different from your permanent mailing address.

I would be interested in volunteer opportunities. Please contact me.

Please sign me up for the Green Lake Association E-Blast!
E-Mail Address:

$80.00 *Membership fee

On-line payments will be processed through Authorize.net. Authorize.net can process your payment with a valid Visa, MasterCard, American Express or Discover card. Your membership fee will be $160.00 if you check both the individual and business membership.

Please fill in all the appropriate information in the form above and click the "Submit Membership Information" button. The next step will lead you into the Authorize.net system to process your payment.

The GLA has tax-exempt status under section 501 (c)(3) of the Internal Revenue Code. Membership donations qualify as charitable tax deductions to the fullest extent of the law.