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 $ 0.00 Payment OptionsCredit CardBank DepositRecurring Payment?*I am happy for LEADA to automatically debit my credit card with my $10 donation each year until I notify that I wish my donation to be discontinued. Note: You will be advised of this in advance each year.Yes, recurringNo, once off paymentCredit Card* Card Details Cardholder Name Account Name: LEADA BSB: 063 832 Account: 1017 3664 Please use Surname as Reference.CAPTCHA
