Membership Form Surname (Doe or Doe-Olson) First Name(s) (Jim or Jim and Jane) Lake Address (12345 Logan Lane) Lake City (Hillman) Lake Zip Code (56338) Lake State (MN) Lake Phone Number (enter "n/a" if not applicable) Mailing Address (12345 Main Street) Mailing City (Anytown) Mailing Zip Code (55555) Mailing State (MN) Mailing Phone Number (555-555-5555) Would you like to include the above information in the LSA Directory and People Locator? Yes No Email (required) Secondary email (enter "n/a" if not applicable) Would you like to include your email address in your listing? Yes No The mailing address line is the address we would use for LSA's USPS mailings such as minutes, newsletters, and voting ballots/ Providing an email address allows LSA to save on postage, paper, and time for these communications. All information is held in the strictest confidence and is only used for pertinent communications. After your membership form is completed and submitted, you are directed to PayPal. Click on the Buy Now button for your payment of either $35 (one vote) or $36 (two votes). You are NOT required to have a PayPal account to make the payment. You can pay your dues with a credit card or debit card. This is a secure payment. You will have the option to login to your PayPal account for your payment OR Pay with Debit or Credit Card. Select the option that works best for you. Please disable your web browser's popup blocker to view the PayPal payment form.