Please click this link if you would like to >Pay your Dues online or make a donation
This form is for your 2008 dues which are $10 per family and expire on December 31, 2008
Please consider an additional donation to help support LWLA programs
Thank-you for your support!!!
Please Print and complete all fields
Name:
____________________________________________________________________________
Mailing
Address:
______________________________________________________________________
______________________________________________________________________
Email
Address:
_______________________________________________________________________
Home Phone:
____________________________________________________
Lake Address: Fire/Street #: ________
Road: _____________________________ Lake:
__________________
Lake Phone: ________________
Do you own the
above Property? ___ Yes ___ No If no, what is your relationship? ____________________
If this is a new
registration, please indicate the name of the previous owner: _______________________________
(If this property
is co-owned or if you own multiple properties, please include information on a
separate page)
I would like to help reduce the cost of newsletters by receiving
my copy electronically
I would like to “Adopt” my road and help to keep ownership
data current
I would like to help the association
with other projects
I would like my donation acknowledged
on the web page and in the next newsletter (name only not amt)