Membership

Primary Account Information

Prefix: First Name: Last Name: Address: City: State: Province (Foreign) Zip Code: - Country: Email: Contact Phone: Contact Phone 2:

Secondary Address

If you have a seasonal or secondary address, please provide that information here.

Secondary Address: City: State: Province (Foreign): Zip Code: - Country: Secondary Address Months

Requested Membership Level

Membership:

$35 - Individual

$50 - Household

$100 - Patron

$250 - Benefactor

$500 - Conservator

$750 - Trustee of the Land

$1,000 - Keeper of the Land

$2,500 - Guardian of the Land

$5,000 - Steward of the Land

Click this box to have the membership you have selected automatically renew.

When you click "Submit" below, a second page will appear requesting your credit card information.

Lemon Bay Conservancy, Inc., is a 501 (c) 3 non-profit corporation with its principal place of business in Florida. Contributions to the Conservancy may be tax deductible to the extent provided by law. A COPY OF THE OFFICIAL REGISTRATION (CH14541) AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE, WITHIN THE STATE, 1-800-HELPFLA, OR VIA THE INTERNET AT WWW.800HELPFLA.COM REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

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