Date:______________________
Name:_____________________________________________
Lake address:______________________________________
Lake phone
number:________________________________
Email address:_____________________________________
Home address:_____________________________________
Home phone
number:_______________________________
Quarterly meetings
at the state park; notices are sent out. Annual dues $15.00 (Send check
or moneyorder with this application to the address at the top of this
form)
Would you be interested
in serving on a committe at some point in the future?