| Mail application and dues to: | |
| Keeler Lake Property Owners Association | |
| 60444 Walnut Drive | |
| Decatur, Michigan 49045 | |
| Your 2002 KLPOA dues of $15.00 are due by June 1, 2002. | |
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Please fill out the information below and return with your payment: |
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| Name: _______________________________________________________________________________ Lot #: _________________ | |
| Lake Address: ______________________________________________________________________ Lake Phone #: _______________________________ | |
| Out-of-State Address: _____________________________________________________________ Out-of-State Phone #: ______________________ | |
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(street) |
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| _____________________________________________________________ | |
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(city, state, zip) |
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Emergency Contact (someone at a different address/phone, not your spouse): |
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Name: _________________________________________________________________________________ |
Phone #: ___________________________________ |
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Email Address: ________________________________________________________________________________ |
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