Application




	Please enter all information in the form below. Click on the "Printable Page" button, then print the displayed page and mail with your check for $20.00, made out to "Cedar Lake Conservancy" All applications and checks should be mailed to: Cedar Lake Conservancy P.O. Box 152 Aitkin, MN 56431

CEDAR LAKE CONSERVANCY MEMBERSHIP FORM
Membership Dues $20.00 / Year
first name(s)				last name
PERMANENT ADDRESS				SUMMER ADDRESS
address 1				address 1
address 2				address 2
city				city
state		zip		state		zip
phone				phone
email				email

WILLING TO SERVE ON THE FOLLLOWING COMMITTEE(S)
communications	finance	membership	shoreland
neighborhood watch	social	water quality	board member


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