BERLIN LAKE ASSOCIATION

 Membership Application

 

NAME_________________________________________

Home Address__________________________________

City____________________State_______Zip_________

Lake Address___________________________________

City_____________________Zip___________________

PHONE (home)_____________ (lake)________________

Occupation______________ EMAIL_________________

How do you use the lake? boating_____, fishing_____, Other_________________

Your main issues/concerns________________________

____________________________________________________________________________________________

Are you interested in contributing time to the association? If yes, please check those that apply

Committee member_____, Officer_________

Service volunteer______, Director_________ Other____________________

 

COMMENTS_______________________________________________________________________________________________________________________________________________________________________________

 

________Enclosed $25.00 membership dues (entitles each household to two voting memberships).  Please make checks to: Berlin Lake Association

 

Return to:

Berlin Lake Association

PO Box 54

Deerfield, Ohio 44411

                        Email: lynned@neo.rr.com

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x                 updated March 2011