Lake Talon Conservation Association

Membership:

Membership Check List & Application Form

Are you interested in participating in LTCA activity as an organizer, board member, project coordinator, writer, naturalist, local area association liaison member or general supporter? Please indicate your areas of interest below and someone will get in touch with you.

I'm interested in getting involved with:

fish/game/bird habitat	water quality
membership development	summer student supervision
organization & activities	e-mail correspondant
newsletter preparation	social events
other / please specify:

Membership: you can type multiple characters into the boxes below.

New Membership Membership Renewal

Name (s)

Home Address

City

Province

Postal Code

Home Phone

Cottage Phone

Your Email Address

Cottage Location
as listed on the map

I/we wish to apply for membership in the LTCA
and agree to support the objectives of the organization.
By checking this box you are
'signing this document as an
equivalent to your signature'. Today's Date:

Please note: A fee of $25 is required for final membership approval. You will be contacted and given instructions on how to make payment. A representative from the TLCA will contact you within 72 hours to confirm your request.