HUTCHINS LAKE IMPROVEMENT ASSOCIATION

MEMBERSHIP APPLICATION

FOR

JANUARY 1 - DECEMBER 31, 2006

Annual Membership Dues: $20.00*

Payable to: HLIA Mail Check & Application to:

Gary Holton, Treasurer

2236 Blue Goose Drive

Fennville MI 49408

Your Membership Provides:

· Water Quality Testing

· Efforts to Preserve the Ecological Balance in Hutchins Lake

· HLIA Annual Business Meeting - Voter Rights

· Educational Programs to Benefit Property Owners

· Membership in Michigan Lake & Stream Association

· Quarterly Newsletter & Web Page

· Subscription to the RIPARIAN Magazine

Do You Wish a Subscription to the RIPARIAN?

_____Yes or _____No

Name: ______________________________________________________

Lake Address: ______________________________________________________

______________________________________________________

Lake Phone: ______________________________________________________

Home Address: ______________________________________________________

______________________________________________________

Home Phone: ______________________________________________________

E-Mail Address: ______________________________________________________

Your Preferred Mailing Address: ______Lake ______Home

*Our By-laws prohibit the Board from raising your dues for 2006. A small contribution, above the $20 dues, would help meet our 2006 budget needs

Membership Dues are DUE NOW, Please.