1. Pledge

Name(s):
E-Mail:
My pledge to take action to protect the lake:	(Click here for suggestions!)
Address
City, State, Zip
Phone
Comments:

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2. Additional Actions...

	Yes, you may use my/our name(s) in LCC’s promotional materials about the Lake Pledge.
	Yes, add me/us to your Citizen Activist List.
	Yes, I’d/we’d like to do even more for the Lake by becoming a member of the Lake Champlain Committee.
	I/We will make a gift of: Please select... $25 $40 $75 $100 $150 $250 Other or... Other:
	Please direct my entire gift or $ of my gift to LCC’s phosphorus reduction campaign. (Your dollars will be matched two for one through a generous grant from the Argosy Foundation.)
	Please email me/us Lake Look, LCC’s monthly natural history column

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3. If you've chosen to make a financial contribution...

Payment method:	Please select... Visa MasterCard Check
Credit card number:
Expiration date:	Month January - 01 February - 02 March - 03 April - 04 May - 05 June - 06 July - 07 August - 08 September - 09 October - 10 November - 11 December - 12 Year 2003 2004 2005 2006 2007 2008 2009 2010
Name on card:

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Go!