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MEMBERSHIP APPLICATION

Mail to:

Raquette Lake Property Owners Association, Inc.

PO Box 2lO

Raquette Lake, New York 13436

 

Note, just click the print icon in your web browser, and this application will print out for you.  (Don't forget to turn your printer on... :-)  

[Please print or write legibly.]    

Name:

Raquette Lake Address:

Raquette Lake Phone*:

Home Address:

        Street:

        City, State Zip Code:

E-Mail Address:

Home Phone*:

Business Phone*:

* NOTE: Phone numbers are optional.

RLPOA annual dues Billing Address:  

____  Raquette Lake  _____  Home

 

 

May we place your name and address in a membership directory?

____ YES ____ NO

 

Membership Level: ___ Voting Member: ___ Non-voting Associate Member

Dues: September 30, 1999 - October 1, 2000: $ 10.00

 

Applicant Signature:

 

 

Comments:

 

 

 

 

When mailing your application to the address above, 

please include your dues payment.

Please enclose a stamped, self addressed

envelope for a return receipt.

Thank-you.