Lamprey River Watershed Association
Membership Application

Yes! I would like to be a member of the Lamprey River Watershed Association to help restore the health and conserve the natural beauty of the watershed:

Name
Street Address
Address (cont.)
City
State
Zip Code
Phone
E-mail

*Please note: if you would like to receive our eNewsletter, you must supply your e-mail address.   The LRWA does not release this information to any other parties.

I am supporting the Lamprey River Watershed Association as a:

Contributor: $25

Supporter: $50
Conservationist: $100

Partner: $250

Sponsor: $500
Champion: $1000

My major interests are:

Water quality
Water use/conservation
Streambank protection
Recreation
Wildlife
Conservation of open space