LAGUNA MOUNTAIN VOLUNTEER ASSOCIATION

NEW MEMBERSHIP/CHANGE OF ADDRESS/RENEWAL FORM

(Circle one)

*All applications may be subject to review and acceptance by the USFS.

NAME(S) ________________________________________

ADDRESS _________________________________________________________________________

PHONE_________________________

E-MAIL ADDRESS _________________________ (Newsletter will be sent here)

Areas of interest:

Trail Maintenance ______

Visitor Information Center______

Nature Walks/Campfire Programs______

Litter Removal______

Membership Type/dues:

Individual ______$15.00

Family (Dual + minors) ______$22.50

Sr. Individual (62+) ______$10.00

Sr. Family (62+) (Dual) ______$20.00

Contributing ______$ (Enter contributing amount)

Make checks payable to: LMVA

Mail to: LMVA (Attention, Treasurer)

P. O. BOX 1984

ALPINE, CA 91903-1984