Personal Membership Form

Yes, I would like to support the Loon Preservation Committee’s efforts to restore and maintain a healthy population of loons throughout New Hampshire; to monitor the health and productivity of loon populations as sentinels of environmental quality; and to promote a greater understanding of loons and the natural world.

*Fields are required.
Personal Membership Form

 
 

Choose a level of membership (memberships renew annually).
All contributions are tax deductible to the full extent of the law.

Please click on the membership level
*Membership Amount:
$

 Thank You!
*First Name
 *Last Name
*Address
*City
 *State
 *Zip Code
*Phone
eMail
 
Summer Address (optional)
Summer Address
City
 State
 Zip Code
Summer Dates: From to
Phone
 
Lake or pond where you live or visit:
 
Gift Membership
And/or-
I’d like to give a Gift Membership of $ to:
First Name
 Last Name
Address
City
 State
 Zip Code
Phone
eMail
   
   
   
I’d like to make a one-time donation to LPC (click to go to donation form)
   

You WILL be given a choice of using your CREDIT CARD or using PAYPAL once you have reached the PayPal payment submission page. Look for the link to pay using your credit or debit card.

What is PayPal and why should I use it?

If you wish to pay by check or use your credit card off-line,
click to download a printable form to mail or fax to LPC.

Personal Membership form

Business Membership form

Donation form

Downloadable forms for print are in PDF format.

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-OR-

Click to download a Personal Membership form to mail or fax to LPC.

Downloadable forms for print are in PDF format.

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