Become a member of Great Lakes United

The success of Great Lakes United is a testament to the value of cooperation between a diverse and committed coalition of groups and individuals that cut across social, political and economic divides. Together, we're ensuring safe drinking water, a healthy ecosystem, and a future for which we can be proud.

You support ensures that we can continue to find the solutions necessary build this new legacy for the Great Lakes and St. Lawrence River.

(Please note, currently for online transactions, payments are processed in U.S. dollars. While donations can be made from anywhere, funds will only be drawn in U.S. currency. If you prefer to donate in Canadian dollars please call 716-886-0142. We apologize for the inconvenience and are working to upgrade this as soon as possible.)

New or Renewing Members

Select your membership level below:

	Basic Individual - $ 50.00
	Supporting Individual - $ 75.00
	Small organization with annual budget < $2,000 - $ 35.00
	Medium organization with annual budget $2,000-20,000 - $ 65.00
	Large organization with annual budget > $20,000 - $ 125.00
	Library subscription - $ 50.00

Email Address *

I am contributing on behalf of an organization.

Organization Details

Organization Name

Primary Phone
Primary Email
Street Address	Street number, street name, apartment/unit/suite - OR P.O. box
Addt'l Address 1	Supplemental address info, e.g. c/o, department name, building name, etc.
Addt'l Address 2
City
Zip / Postal Code	- Enter optional 'add-on' code after the dash ('plus 4' code for U.S. addresses).
Country
State / Province

Honoree Information I would like to make a donation in honor or memory of someone I care about.

In Honor of In Memory of ( unselect ) Please include the name, and / or email address of the person you are honoring,
	First Name	Last Name
	Email Address

Personal Information

First Name *
Last Name *
Organization
Address

City
State/Province
Country (Primary)
Zip/Postal Code

Referral

I was referred by

Please enter the first and last name of the person who encouraged you to join Great Lakes United.

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Become a member of Great Lakes United