PRINT AND
MAIL TO:
LOON LAKE HOMEOWNERS ASSOCIATION
PO BOX 219
(LOON LAKE)
VERMONTVILLE, NY 12989
2009-2010 MEMBERSHIP DUES
$30.00
NAME:__________________________________________________________
CAMP NAME: _____________________________________________
LOCAL ADDRESS:________________________________________________________________
__________________________________________________
TELEPHONE:____________________________________________
PERMANENTADDRESS:___________________________________________________
__________________________________________________
TELEPHONE: _______________________________
E-MAIL ADDRESS: _______________________________________
(CHECK PREFERRED MAILING ADDRESS)
PLEASE CHECK TOPICS FOR WHICH YOU ARE WILLING TO VOLUNTEER YOUR TIME:
_________ BOATING REGULATION SAFETY
_________ ACTIVITIES
_________ ENVIRONMENT (WATER QUALITY & CONSERVATION)
_________ COMMUNICATIONS
_________ LEGAL/ACCOUNTING
_________ BEACH