Are you already a member of LFPSF?

Yes, I'm already a member, and I'm renewing my membership.
No, I'm not a member yet, and I'd like to join LFPSF.

Your name    

First:    

Last:

Family members' names (optional): 

Street address: 

City:     State:     Zip:

Email address:

Phone number(s):    Evening/weekend:       Day:   

What type of membership would you like?

$500 Benefactor
$250 Environmentalist
$100 Advocate
$ 50 Patron
$ 35 Family
$ 25 Individual
4 hours volunteer service

In what type(s) of activities are you most interested in participating? Please select all that apply.

Organizing fundraising and other events
Membership
Newsletter
Grants
Other

If you indicated "other" above (or even if you didn't), please describe the types of activities you are interested in participating in, and the types of expertise you could provide.

If you would like to make an additional, and tax deductible, contribution, please enter an amount below. Thank you for your support.

$

How would you like your contribution acknowledged in our newsletter?

Anonymous
By name as entered above
Other. I'd like to be acknowledged as:

If you have any additional comments, suggestions, or questions, please let us know.

Please click here when you are ready: