Membership Checkout - Lake Kashagawigamog Organization.

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You have selected a One Year Membership. Select this option to make a single one-time membership payment for the current calendar year. The price for membership is $35.00. Membership expires on December 31, 2023.

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Account Information
Username E-mail Address Confirm E-mail Address Password Confirm Password Full Name LEAVE THIS BLANK

Member Information

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Primary Contact

First Name

Last Name

Mailing Address

City

Province

Postal Code

Home Phone #

Cell Phone #

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Second Contact

Contact #2 - First Name

Contact #2 - Last Name

Contact #2 - Email Address

My lake address is different from my mailing address.

Lake Lot #

Lake Road Name

Cottage Phone Number

Communication Preferences

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The account's primary contact will automatically receive e-blasts (approx 8/yr). If there is a second contact on the membership, please select whether you wish to receive e-blasts to that address or nothing.

Primary Contact:

Second Contact:

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Under Province of Ontario Privacy legislation the above noted information will be used solely by the LKO for communication purposes only. We will not rent, sell or share your information without your express permission.

I give permission to have my name shown on the LKO website as a member in good standing.

Volunteer Interest

I wish to volunteer for the LKO.

Area of Interest

Donation

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Enter the additional amount you would like to contribute to LKO for the initiatives below (optional).

Environment Initiatives/Lake Plan

Discretionary

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Billing Address
First Name Last Name Address 1 Address 2 City State Postal Code Country Phone

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