2019 GPLA MEMBERSHIP FORM

Anyone may become a member of the Goose Pond Lake Association       

 

Annual membership is $15 per year for each adult.  Memberships run from the first week in January to December (our fiscal year). Dues and contributions (always accepted) are used to finance Goose Pond water quality monitoring, Lake Hosting, the Annual Meeting & Picnic, and other Association activities that directly benefit the pond.    

 

Checks for membership should be made out to the GPLA, and mailed to:   Goose Pond Lake Association            

                                                                                                                       c/o Rick Hutchins, Treasurer

                                                                                                                       PO Box 647             

                                                                                                                       Enfield NH 03748          

 

Name(s) to be acknowledged: _______________________________________________________________________________________ 

 

Goose Pond address: _____________________________________________________________________________________________  

 

Permanent address: ______________________________________________________________________________________________  

 

Email address 1: _________________________________________   Email address 2: _________________________________________

 

Goose Pond telephone: _____/_____/______ Other telephone: _____/_____/______ 

 

Total amount on check: _______     Total Dues: _______     Additional gift/donation: $________

         

Print this page and send to the address above with your check.  Please indicate all members being paid for, and amount of gift/donation.

Gift Levels

Loons = $200+

Blue Herons = $100 - $199

Ospreys = $50 - $99

Eagles = $0 - $49

Website Copyright © 2019 Rick Hutchins

All photos/videos copyright © 2019 Rick Hutchins unless otherwise noted