GLA Membership Form – 2025

"*" indicates required fields

First Name:*

Last Name:*

Beach*

Lake Phone:*

Gravel Lake address:*

Street Address Address Line 2 City State ZIP Code

Home mailing address (if different from above):

Street Address Address Line 2 City State ZIP Code

E-mail address:*

I would like to receive 4 free issues of the Riparian magazine for 2026.

Yes

No

Please indicate where your Riparian should be sent.

Home

Lake

Membership dues for 2025*

Total

Payment Method*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

WHERE DO MY DUES GO?

WHY SHOULD I BECOME A MEMBER?