On-line CLA Membership Enrollment

Please complete the form below. Mandatory fields are marked with an *. Once you have completed the form and selected the ‘Submit’ button, you will automatically be directed to PayPal where you can pay the Membership fee on-line with a Credit Card or PayPal account.

An email notification will be sent from CLA to the person completing this form indicating that the on-line Membership form has been received. PayPal will confirm your payment transaction independent of the CLA.

Thank you for your support!

On-line 2020 CLA Membership Form & Directory Update

If you are human, leave this field blank.

Name of person submitting form *

Email Address of person submitting form *

1. Family Name *

2. Name of family members aged 18 years or older to be enrolled as CLA members for the current membership year: *

2a. Additional family members aged 18 years or older to be enrolled as CLA members for the current membership year. (optional)

3. Lake Address: (include your blue/white PIN# with Street and RR# with City)

3a. Lake Phone

4. My Lake and Home address and phone # are the same: *

Yes

5. Home Address *

6. Home Phone Number *

7. Email Address(es) to be included in distribution list for CLA Communications: *

8. Christie Lake Directory:

I consent to the publication of the information contained in items 1 to 3 above in the Christie Lake Directory.

I consent to the publication of PARTIAL information contained in items 1 to 3 above in the Christie Lake Directory.

I do not consent to the publication of any information contained in items 1 to 3 above in the Christie Lake Directory.

9. Do not publish:

10. CLA Communications: (Spotlight Newsletters and Notices) - (Note: new email addresses will receive a one-time request by email to 'opt-in' to receive CLA email communications as required by the new Canadian Anti-spam Legislation).

Yes, email CLA communications to me in the 'bcc' format.

No, do not email CLA communications to me. Mail printed copies of Newsletters and important Notices to me at my home address.

11. Emergency Contact: (in the event you are unavailable to respond to property damage, fire, theft etc.) (Optional) - Emergency contact information may enable CLA to notify members about matters requiring prompt attention. CLA accepts no obligation or legal responsibility to monitor members’ properties, nor to notify them or their emergency contacts about such matters, but may choose to do so as a matter of courtesy.

Emergency Contact Phone #1: *

Emergency Contact Phone #2:

Amount Enclosed: (Annual Membership fee: $35 per Family *

Note that PayPal will only process a payment in the amount of $35 for either credit card or PayPal payment methods. We are unable to accept on-line payments for multiple years. You may however, pay for multiple years by completing a form and mailing it together with a cheque to the address noted on the membership form. You may also hand it in to your local canvasser.

Date form completed

Signature:

By checking this box, I am signing this form.

Comments or Special Instructions: After you select the 'Submit' button below, you will be directed to another page to pay the Membership fee by Credit Card or PayPal. Thank you for your support!