Registration Form

Member Information
Member Type (Please check one)
- Current Member
- Former Member
- New Member
Name
First Last
Lake Address
Address
Street Address City ZIP Code
Home Phone
Cell Phone
Email
Mailing Address (If different from lake address)
Address
Street Address City State ZIP Code
Phone
Annual Dues* * (Jan 1 – Dec 31)
Membership Type*
How many in your family?
Name of your business

If you are interested in helping the Lake Attitash Association by working on one or more of the following programs please contact the association at info@lakeattitash.org.

Boat Launch Monitoring
Education & Advocacy
Water Protection, Quality & Testing
Social & Recreational Activities
Website Administration
Board of Directors