Completion of this member enrollment form will register you at nloma.org. New members will have an inactive account. Once we have processed your payment, reviewed your request and activated your account, you will receive notification by email. Those renewing membership will keep their account active with member privileges unless payment is not received by the enrollment deadline.

Personal Info
Name*
First Last
Email
Required for New Enrollments
Phone*
Address*
Street Address City State ZIP Code
Camp Name or Organization
Please let us know the organization with which we should identify your NLOMA membership.
Membership Info
I want to...*
- Renew My Current Membership
- Become a New Member
Account Username*
This will be used as your login for the nloma.org website.
Password*
Please enter a strong password. You will be able to enable two-factor authentication once your account is created.
Enter Password Confirm Password

Strength indicator
Membership Level Enrollment*
To what level of membership are you enrolling this year?
- Level A
- Level B
- Level C
- Level D
Membership Dues
Payment*
- Process online payment
- Send check via postal mail
Credit Card

Card Details

Cardholder Name
Please mail your NLOMA Membership payment to : NLOMA Treasurer Attn Bob LaCroix 22750 Lind Ave. Waterville, MN 56096
Email
This field is for validation purposes and should be left unchanged.

Personal Info

Membership Info