Sample Page – Lake of the Woods District Stewardship Association

"*" indicates required fields

STEP 1: YOUR INFORMATION

Your Name*

First Last

Your Email Address*

Enter Email Confirm Email

Your Phone Number*

Your Address*

Street Address Address Line 2 City Province / State Postal Code / ZIP Country

I am a LOWDSA member*

Yes

STEP 2: GIFT MEMBERSHIPS

Please select the number of gift memberships you would like to purchase from the list below and fill in the recipient information fields. If you would like to purchase more than three gift memberships or purchase virtual gift memberships, please contact us at [email protected].

Number of Gift Memberships*

Recipient #1:

Please send a gift card to the recipient.

Recipient #1: Full Name

First Last

Recipient #1: Mailing Address

Street Address Address Line 2 City Province / State Postal Code / ZIP Country

Recipient #1: Phone

Recipient #1: Email

Recipient #2:

Please send a gift card to the recipient.

Recipient #2: Full Name

First Last

Recipient #2: Mailing Address

Street Address Address Line 2 City Province / State Postal Code / ZIP Country

Recipient #2: Phone

Recipient #2: Email

Recipient #3:

Please send a gift card to the recipient.

Recipient #3: Full Name

First Last

Recipient #3: Mailing Address

Street Address Address Line 2 City Province / State Postal Code / ZIP Country

Recipient #3: Phone

Recipient #3: Email

STEP 3: PAYMENT

Total

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