| Instructions: | 1) Use your printer to print a copy of this form. | |
| 2) Fill it out completely so that our records are Accurate. | ||
| 3) Enclose your annual dues of $15.00 and mail to: | ||
| Joyce Croteau - Treasurer | ||
| 14 Prospect Street | ||
| Orleans, VT 05860 | ||
Lake Parker
Association, Inc.
Dues Remittance Form
| Name: | _______________________ | Camp/Lot#: | _______________________ | |
| Address 1: | Where we should send your newsletters in the winter (between September 15th and May 15th). | Address 2: | Where we should send your newsletters in the summer (between May 16th and September 14th). | |
| _______________________ | _______________________ | |||
| _______________________ | _______________________ | |||
| _______________________ | _______________________ | |||
| Phone: | _______________________ | Phone: | _______________________ |
| e-mail address: | ||
 Yes, I want to volunteer to help
with Association projects: I'm interested in
helping with: |
||
| Kitchen work at meetings |
Lake Protection Projects |
Grant Planning and writing |
| Newsletters |
Weed Harvesting |
Other
________________ |