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? 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 you submit this form, a PayPal field will appear below to finalize your payment. Select the "Buy Now" button to view the transaction page and then you will need to create a PayPal account or you may login using your existing PayPal account to complete your membership payment. Please disable your web browser's popup blocker to view the PayPal payment form.