Lake Arbutus Association                                                   Membership Application

 

Dues $20/year; annually due in January

Make check payable to: Lake Arbutus Association

Mail to: 

ARBUTUS LAKE ASSOCIATION, INC.

P.O. BOX Box 223
HATFIELD, WI 54754

 

Local address:  (Two family members = one membership)

 

Date ____________________

Name ________________________________________________________

Local Address _________________________________________________

City _______________________ญญ   State ______   Zip _________________

Phone ______________________________________

Preferred E-mail address _________________________________________

 

Preferred mailing address if different from above:

 

Address ______________________________________________________

City _______________________   State ______   Zip _________________

Phone ______________________________________

 

 (Optional)

Please choose 1-3 areas of interest from the list below:

 

__ Water Quality          __ Financial                     __ Membership

__ Water Sports           __ Shoreline Erosion        __ Social

__ Dam Issues              __ Fishing                        __ Other __________________________

__ Development           __ Safety                                       __________________________