CONTACT INFORMATION:

Status:	Renewal             New Member
Name(s):
Street Address:
P.O. Box:
City, State, Zip:
Phone:
Email(s):
	Alternate Address or Winter Address (if different from above)
Mailing Address:
City, State, Zip:
Phone:
Email:

 

CONTRIBUTIONS:

Annual Dues - Individual - $35
Couple - $45
Family - $50
Donations - General Fund
Capital Reserve Fund
Fish Stocking Program
Lake Hosting Program
Water Quality Program
Pre-Order "On Messer Pond" Calendar 2012 - $15 each
MPPA Note Cards - Aerial View of Messer Pond  2 Packs of 8 - $10
MPPA T-Shirts - Please indicate quantity and size below  - $15 each Also, please indicate tee color and design choice in the Comments Box. See bottom of form or www.messerpond.org/forsale for choices and all items for sale.
Child S    Child M      Child L   Adult M   Adult L   Adult XL Adult XXL
TOTAL	$
Please make check payable to MPPA and mail to address above.	Thank you!
Note: Contributions are tax-deductible under section 170 of the Internal Revenue Code.

VOLUNTEERING - Please help if you can - We need volunteers!

 

Lake Hosting		Membership Activities
Weed Watching		Educational Activities
Water Quality Monitoring		Other Short-term Projects
Watershed Issues		Serving on the Board
Water Safety		Newsletter Assistance
Fish and Wildlife		Website Assistance

 

 

 

 

 

 

 

 

 

COMMENTS OR SUGGESTIONS:

NOTE:

T-shirt colors include: white, red, royal blue, purple, black, gray, dark green, bright green, yellow, turquoise

T-shirt designs include: MPPA Logo (original design), Pink Sunset, Blue Sunset, Loon, Heron, Red Squirrel,

Barred Owl, Painted Turtle, Mallards, Lupines or any other Messer Pond calendar photo

THANK YOU FOR YOUR SUPPORT!  You may wish to print this page for your records. 

Please click the Submit Form button when finished.