Lake Sunapee Protective Assn. · LSPA Membership Form

Membership Level

$49 & Under: Associate

$50 - $99: Caretaker

$100 - $249: Steward

$250 - $499: Guardian

$500 - $999: Protector

$1,000 - $2,499: Sentinel

$2,500 - $4,999: Leader

$5,000 - $9,999: Vanguard

$10,000 & Up: Benefactor

Donation Amount *

$

Donation Frequency. To automatically renew your annual membership, please select yearly.

Contact Information

Your Name *

First Name

Last Name

Spouse/Partner Name

First Name

Last Name

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email *

Verify Email *

Phone

Would you like to add a secondary address?

Yes

Secondary Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

What is your favorite lake or pond? *

Other lake or pond *

Are you gifting this membership to someone else? *

Yes

No

Name of person receiving the gift membership *

First Name

Last Name

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code