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Membership Application

All information provided is strictly confidential. If you are joining as a couple, include names for both people. One subscription to our newsletter Bare Facts is included with membership and will be mailed to the following address.


Name(s)
Address
City
State
Zip
Phone(s)
Birthdate(s)

Lake Edun Membership Single Couple Amount
    New1/Renewal $275.00 $350.00
    Associate (over 125 miles away) $175.00 $250.00
 
 
Working Membership Discount ($50.00) ($50.00)
Assist our Educational Mission ($25.00) ($25.00)
Naturist Membership $53.00 $53.00
    Total

1 New members receive a Waiver and Release which must be completed before membership is finalized.


Payment Type: Check Visa Mastercard

Card#   Expires

Please print a copy of this form and mail it to:
Lake Edun Foundation, Box 1982, Topeka, KS  66601-1982,
or click below to email.