Membership

Membership in the PLA is open to all. The price is $15 for individuals and $20 for families annually.

Please enroll me for_____Family Membership ($20.00) …or… Individual Membership ($15.00)

And/or Please accept my donation of $_______ to the Porter Lake Association

Name (please print) ________________________________________________________

Permanent Address _______________________________ Phone____________________

Summer Address. _________________________________ Phone____________________

Email____________________________________________________________________

Signature_________________________________________________________________

I ___do NOT need or I ___would like to have a membership card mailed to me

Mail completed form to Monica Rooney, PLA Treasurer, 5 Collins Court, Plaistow, NH. 03865