Long Lake Property Owner’s Association
Dues Statement/Membership Application
To renew your membership, or to become a new member, simply fill out and return this form
Please Print Legibly
NAME
_________________________________________________________________________
(LAST) (FIRST)
SPOUSE ___________________________________________________
HOME ADDRESS __________________________________________________________________________________________
CITY ____________________________ STATE ___________ ZIP ________________________
HOME PHONE (_______) ________--________________________ OTHER PHONE (___) _____--________
LAKE ADDRESS __________________________________________ PHONE __257--_______
|
CHECK |
MEMBERS |
NON-MEMBERS |
AMOUNT |
|
DUES
|
$15.00 |
$15.00 |
|
|
SIGNS |
INCLUDED WITH MEMBERSHIP |
$15.00 |
|
|
FISH FUND |
|||
|
TOTAL AMOUNT ENCLOSED |
$ |
||
Mail completed form, along with check or money order to:
Long Lake Property Owner’s Association
P.O. Box 276
Long Lake, MI 48743-0276
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