		*SAVE THE LAKES*, Protecting Rhode Island's fresh water

10 Tips for Improved Lakeshore Stewardship from US EPA

Individual Membership Form - Save The Lakes

First name: Last name:

Mailing Address

Street: Zipcode:

Email Address: Phone: Type:

Association (if any): Title (if any):

I wish to become a member of Save The Lakes and will submit $25 with this application

and wish to make an additional donation of

I do not wish to become a member at this time but would like to make a donation of

Signature ________________________ Date:

and mail it to:

Save The Lakes

61 Wood Road

Chepachet, RI, 02814

Send mail to webmaster@stlri.org with questions or comments about this web site. Last modified: 3/23/12