PLEASANT LAKE & PARKER POND ASSOCIATION
2016 MEMBERSHIP AND RENEWAL APPLICATION
Please enroll me as a member of the Pleasant Lake & Parker Pond Association. Annual
dues cover the current calendar year. Membership is open to anyone interested in
preserving the quality of Pleasant Lake and Parker Pond.
Enclosed is my check payable to the Pleasant Lake & Parker Pond Association.
I would like to renew or join at the following level:
_____ $ - Higher Amount
_____ $ 250. - Provider
_____ $ 200. - Supporter
_____ $ 100. - Benefactor
_____ $ 50. - Patron
_____ $ 25. - Membership
PL/PPA IS A FEDERAL 501(C)(3) TAX EXEMPT CORPORATION
For donations of $250 or more, you will receive a receipt to include with your tax return.
Permanent Mailing Address_____________________________________________
Seasonal Mailing Address: _____________________________________________
Mail to: Pleasant Lake & Parker Pond Association
983 Meadow Road
Casco, ME 04015
THANK YOU FOR YOUR SUPPORT