Raquette Lake Property Owners Association, Inc.
PO Box 2lO
Raquette Lake, New York 13436
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[Please print or write legibly.]
Raquette Lake Address:
Raquette Lake Phone*:
City, State Zip Code:
* 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
When mailing your application to the address above,
please include your dues payment.
Please enclose a stamped, self addressed
envelope for a return receipt.