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DUES STATEMENT 2011
Calendar Year Dues - $30 Print
out this page, fill out the application and mail it along with your
dues to: ____ Renewal ____ New Member
Name: __________________________________________________________________ Home Phone: ______________________ Lake Phone: ___________________________ Mailing Address: __________________________________________________________ City,
State, Zip: __________________________________________________________ E-mail address: ___________________________________________________________ Legal Residence: ______ Lake _______ Other
Comments:
Date:
___________ Signature ____________________________________________
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