PO Box 555, Hayward, WI 54843

E-mail: cfapoa@gmail.com Web: www.cfapoa.org

CFAPOA Member Registration/Membership Renewal

January 1 through December 31

Member Name(s):

Member Information: (New Members please compete; Returning Members complete if information has changed)

MAILING Address:			FLOWAGE Address (if different):
City	State	Zip	City	State	Zip
Phone			Phone
E-mail (for CFAPOA use only)
Please send my Newsletter by email: Yes No			Do NOT publish email in Directory:
Note: Each paid membership receives one vote and one quarterly newsletter. Shared property owners wanting separate votes shall pay an additional membership fee. The CFAPOA is a 501(c)(3) organization and dues may be tax deductible.

I am interested in Volunteering: (Please indicate choices)

Social Events Membership Invasive Species Loons Website Newsletter

Other:

Membership Level: (Based on TOTAL CONTRIBUTION)

$25                          Individual/Property

$26 - $124            Contributor

$125 - $999          Steward

$1,000 and up    Lifetime Conservationist

Contribution Designations:

$ Membership Dues (Must be $25 or greater – for General Operating Expenses)

$ Additional donation to General Operating Expenses

$ Additional donation to Conservation Project Fund (for Board approved projects)

$ Additional donation to Conservation Trust Fund (Endowment retained for long term support)

$ TOTAL CONTRIBUTION – Membership Level

$ TOTAL PAYMENT (Includes 2.7% Online Convenience Fee)

Gift Selection: (Note: All items will have the CFAPOA logo)

Members making a total contribution of $125 - $499 may select ONE of the following gifts:

Men's Port Authority Silk Touch Polo	OR	Ladies Port Authority Silk Touch Polo
Size: (S through 10XL) and (LT through 4XLT)		Size: (S through 6XL)

Men's and Ladies Polo Colors (Please choose)
Red	Pink	Burgundy	Maroon	Lavender	Light Blue	Navy	Teal green	Marine Blue
Kelly Green		Coffee Bean	Steel Grey	Black
OR Poly/Fleece Travel Blanket
Colors:	Black Grey/Black Red/Black Royal Blue/Black

Members making a total contribution of $500 - $999 may select ONE of the gifts above or ONE of the following gifts:
Men’s Midweight Fleece Hooded Jacket	OR	Ladies Midweight Fleece Hooded Jacket
Size: (XS through 4XL)		Size: (XS through 4XL)
Men's and Ladies Jacket Colors: (Please choose)
Color: Black Grey/Blue Grey/Citron

Members making a total contribution of $1,000 or more may select ONE of the gifts above or ONE of the following gifts:
Men’s 3 in 1 Jacket	OR	Ladies 3 in 1 Jacket
Size: (S through 4XL)		Size: (S through 4XL)
Men’s Colors: Black Insignia Blue/Navy	Ladies Colors: Blue/Black Berry/Black      Red/Black Black

Mission Statement: The Chippewa Flowage Area Property Owners Association, Inc. (CFAPOA) is a 501(c)(3) non-profit organization, formed to generally promote, encourage, and foster the interests of all property owners. Its major objectives are: to keep the Chippewa Flowage area clean and safe for all people; to protect the environment; to provide a forum for the collection and exchange of ideas; to support acquisition of land for protection and conservation and to pursue any other lawful objectives that may benefit this pristine lake, its wetlands, wildlife and tributaries.