Join Minnesota Waters

Membership & Donation Form

Minnesota Waters Secure Membership & Donation Form

Join Minnesota Waters to help
protect and preserve Minnesota's lakes and rivers.

Working Together We Can Make A Difference!

Please check one or both of the first two check boxes.
	I'd like to join or donate to Minnesota Waters as an individual or family to help protect Minnesota's lakes and rivers; complete the form below.
	Please send me information regarding:

Giving a memorial gift to Minnesota Waters
Applying for an association/group membership
Applying for a business membership
Applying for an organization/government membership
Gift in honor for someone who is doing great lake, river or watershed work
Planned Giving
Making a Pledge
Gift membership

* Required Fields

We do not share your information with third parties. It is for internal use only

First Name: *
Last Name: *
Organization:
Street Address: *
City: *
State: *
Zip: *
Phone:
Fax:
E-mail Address: * (for email confirmation only)
Shoreline Owner?:	Yes No
Body of Water:
County:
Member Level:
I'd Like to provide an additional (tax-deductible) donation.
$

Payment Options:

	I'll print out and mail with payment to: 720 West Saint Germain, Suite 143, St. Cloud, MN 56301 (Print using your browser)
	Pay by credit card with PayPal

Your Total: $