Membership Application & Renewal MEMBERSHIP OPTIONSLEADA Membership: $10 per Member Membership Form PDF Membership Form .docx Choose your Membership*New Resident Membership - Join $10New Friends of Lakes Membership - Join $10Annual Membership DonationHow many Memberships?*Select how many Members you are renewing or signing up.One MemberTwo MembersThree MembersFour MembersFive MembersSix MembersName* First Last Name 2* First Last Name 3* First Last Name 4* First Last Name 5* First Last Name 6* First Last Business Name (if applicable)Type of BusinessPhone LandlineMobileEmail* Town/CityHow did you hear about us?*Word of mouthInternet SearchLocal NewspaperRefer A Friend EmailLEADA NewsletterPoster around townTotal A$ 0.00 Payment OptionsCredit CardBank DepositCredit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Account Name: LEADA BSB: 063 832 Account: 1017 3664 Please use Surname as Reference.CAPTCHA