Membership and Donation Form

 

Las Placitas Association (LPA) is a non-profit New Mexico Corporation that has received 501(c)(3) status from the IRS. Contributions to LPA are tax-deductible to the extent permitted by law.

Please fill out and print form and then mail to LPA at the address below!

* Optional information

Name:
Address1:
Address2:
City:
State:
Zip Code:
*If Family Membership, how many in your family?:
*Telephone(work):
*Telephone(home):
*E-mail address:
New Membership        Renewal/Change        Donation
 
   

LPA Annual Membership Dues   Individual - $10   Family - $15    Supporting Member - $25   Contributing Member - $50   Other Amount - $1 to $1 Million

Check enclosed in the amount of:          THANK YOU!

Send Membership Dues to:
Las Placitas Association
PO Box 888
Placitas, NM 87043