To keep in touch with our members and to provide updated information to all our membership we need the information below.
Membership is a one time fee of $100.00 or 4 yearly payments of $25.00. Donations are solicited when necessary.
Last Name:
First Name:
Partner's Name:
Permanent Street and Mailing Address:
Seasonal Address:
email:
Home Phone:
Work Phone
Cell Phone:
Donation
Concerns/Issues:
Contact Gerry Roeder - President and Membership Chair
Telephone: 519-513-8093 for more information.
Note if you have a hotmail account please add lscommunityassoc@gmail.com to your 'safe senders list'.
