Membership Application  / Renew or Change Member Info

Date      

CURRENT MEMBERS:                   This is a Change of:  Address  or Email

NEW or RENEWING MEMBERS   Dues are Enclosed to JOIN  or Renew Membership at the following level:
      

MEMBERSHIP CATEGORY / DUES:   PLEASE SELECT ONE General @ $25/ Year Lifetime @ $250 One Time Fee BRONZE @ $50 / Year SILVER @ $100 / Year GOLD @ $250 / Year PLATINUM @ $500 / Year
Print & Mail Your Confirmation Form with Check Payable to: Lake Gaston Association

NAME (or Business)   

E-Mail Address *       

      *1  We will E-mail your news bulletins unless you Check this box  to indicate you
           would like your Bulletins Posted & Mailed instead.

       *2 To receive Email from the LGA (LGAlerts/ Advisories/ Notices / Bulletins), you may
            need to add these addresses to your "Contacts" or address book, buddy list, etc.:

                   admin@lakegastonassoc.com  and
                   members@lakegastonassoc.com
 

LAKE Address
    Subdivision         Lot #   House or Lot? Please Choose House Lot Multiple Properties

    County              Brunswick Halifax Mecklenburg Northampton Warren

    Address          

    City/State/Zip    
    Lake Phone:      

Mailing Address  (IF DIFFERENT from Lake Address)

   Address          

   City/State/Zip  

   Home Phone:     

NEW & RENEWING MEMBERS:  Along with your Dues, please print & mail the confirmation form
that will appear when you submit this form.  Sorry, but we cannot update your renewal year status

until we receive your dues.

NEW MEMBERS - Please tell us how you heard about the LGA:  Please Choose Brochure (LGA) Friend / Neighbor Home Owner Assoc Internet / Web Lake Gaston Gazette Lake Book Directory Lake Life Magazine Realtor Word of Mouth WZRU Radio