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Donation Amount:
*
$50
-
Individual
$100
-
Family
$150
-
Lake Steward
$250
-
Sponsor
$500
-
Patron
$1,000
-
Benefactor
$
Donation Schedule (use drop-down to make recurring gift)
One Time
Monthly
Continue donating until
(mm/dd/yyyy)
Purpose
*
select one
Renew My Membership
New Membership/Join LEA as new member
Give a Gift Membership
LEA Annual Appeal
Give to a Specific LEA Fund or Project
A memorial or honorary gift
Please complete gift recipient info below your contact information in this form.
LEA Fund or Project
*
select one
Education
Milfoil
Maine Lakes Science Center
LEA Trails
Water Testing
Your Contact Information
Name
*
First Name
Last Name
Include a spouse/partner as a joint donor for this donation?
*
If yes, your spouse will be included on tax receipts and acknowledgments for this gift.
Yes
No
Spouse's Name
First Name
Last Name
Is this gift anonymous?
*
Yes
No
If we have your permission to publicly acknowledge this contribution, how you would like your name(s) printed?
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Home Phone
Favorite Lake
select one
Adams Pond
Bear Pond
Beaver Pond (Bridgton)
Beaver Pond (Denmark)
Brandy Pond
Cold Rain Pond
Crooked River
Crystal Lake
Five Kezars
Foster Pond
Granger Pond
Hancock Pond
Highland Lake
Holt Pond
Island Pond
Keoka Lake
Keyes Pond
Kezar Pond
Lily/Pickerel/Perley
Little Moose Pond
Little Pond
Long Lake
Long Pond
McWain Pond
Moose Pond
Otter Pond
Papoose Pond
Peabody Pond
Perley Pond
Pickerel Pond
Pleasant Pond
Sand Pond
Sebago Lake
Songo River
Stearns Pond
Trickey Pond
Woods Pond
We love to get to know our members! Feel free to tell us your connection to the area or any questions you may have about LEA:
Gift Membership Details
Name for Gift Membership
*
First Name
Last Name
Email for Gift Membership
Verify Email
Address for Gift Membership
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
In Honor/In Memory Gifts
Is this gift in memory or in honor of someone?
*
No
In Memory of
In Honor of
Name for In Memory or In Honor of Gifts
Dedication
Should we notify anyone of this donation?
*
Select "yes" if you would like us to notify the individual (in honor of) or the family (in memory of) for this donation.
Yes, please email the honoree
Yes, please mail the honoree
Yes, please email the deceased's family/friend
Yes, please mail the deceased's family/friend
No
Who to Notify for In Honor/In Memory of Gift:
First Name
Last Name
Notification Email for In Honor/In Memory of Gift:
Verify Email
Notification Address for In Honor/In Memory of Gift
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Payment Information
Add 3% to my total amount to help cover the payment processing fees