Messer Pond Protective Association

P.O. Box 103

New London, NH 03257-0103

email: mppa@messerpond.org

Website: www.messerpond.org


MESSER POND PROTECTIVE ASSOCIATION

Membership Application Form

for calendar year 2017

To print click here for pdf version


To pay with PayPal before
 filling out form click here
CONTACT INFORMATION:

Status:

               Renewal             New Member  

Name(s):

Street Address:

P.O. Box:

City, State, Zip:

Phone:

Email(s):

 

 Alternate Address or Winter Address (if different from above)

Mailing Address:

City, State, Zip:

Phone:

 

  

DUES AND DONATIONS:

Insert $ Amount

Annual Dues - Family - $50

  

                  Couple - $45

 

                  Individual - $35

 

Donation - General Fund

All dues and donations to the Messer Pond Protective Association, a tax exempt 501(c)(3) organization, will be used to further its mission including implementation of Best Management Practices reflected in the Watershed Management Plan; and to fund the ongoing programs of the MPPA which include water quality testing, lake hosting, weed watching and wildlife.
   

MPPA CALENDARS, NOTE CARDS & TEE-SHIRTS:

 

"On Messer Pond" Calendar 2018 - $15 each

MPPA Note Cards - Nature of Messer Pond, Set #1  1 Pack of 8 - $15

MPPA Note Cards - Nature of Messer Pond, Set #2  1 Pack of 8 - $15

MPPA T-Shirts - Please indicate quantity and size below  - $15 each

Additionally, please indicate tee color and design choice in the Comments Box below.

See bottom of form or www.messerpond.org/forsale for choices.

 Child S Child M  Child L Adult M  Adult L  Adult XL Adult XXL

  

 

TOTAL AMOUNT DUE:  

TOTAL 

Please make check payable to MPPA and mail to address at top of form. 

Thank you!

  
VOLUNTEERING:    Please consider donating some of your time to help MPPA.  Even 1 hour a month is helpful!

Lake Hosting

 Culvert Cleanup

Litter Patrol
Weed Watching

Wildlife

Serving on the Board

Water Quality Monitoring

Membership Activities

Newsletter Assistance

Watershed

Educational Activities

Website Assistance

 

 

 


COMMENTS:

NOTE: T-shirt colors include: white, red, royal blue, navy blue, purple, black, gray, green, lime green, yellow, turquoise, pink.

T-shirt designs include: MPPA Logo (original design), Pink Sunset, Blue Sunset, Loon, Heron, Red Squirrel, Barred Owl, Painted Turtle, Mallards, Lupines or any other Messer Pond calendar photo.


 

 

 

 

 

 

 

 

 

 

 

 

 

Please click the Submit Form button when finished.

     

 

 

THANK YOU FOR YOUR SUPPORT!  You may wish to print this page for your records.  Cash donations of $250 or more and cash purchases of merchandise of $75 or more will be acknowledged by the MPPA Treasurer as required by the IRS.

 


Copyright 2005 - 2017 Messer Pond Protective Association.  All rights reserved.  Revised: 02/27/17