Crystal Lake
&
Watershed Association P.O. Box 89, Beulah, MI 49617
Phone: (231) 882-4001
FAX: (231) 882-7810 Email
Us
Membership
Form
Please Support Your CLWA
One check may be sent for all of
the below, payable to the Crystal Lake & Watershed Association. All dues, gifts,
and contributions are fully tax deductible. Please include the information below
with your check and mail to:
Crystal Lake & Watershed
Association
P.O. Box 89, Beulah, MI 49617
~ ~ ~ ~ ~ ~
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Membership Dues for the year: _______
(Minimum $35 annually)
Other_______
$500
$250
$100
$70
$35
2020 Vision Fund:
Other_______
$1000
$500
$250
$100
$50
$25
Endowment Fund: In Memory of In
Honor of On the Occasion of Unspecified
Amount: ______ (No amount will
be mentioned.)
Name, Event, or Occasion ___________________________________
Please include name and address if you wish an acknowledgment of your gift.
Total Enclosed ___________
(Please print all entries
on this form)
Member Name(s) ________________________________________________
Summer Address
_____________________________
Street Address/Post Office Box
_____________________________
City, State, Zip Code
_____________________________
Area Code, Phone #
Mailing (Winter) Address
_____________________________
Street Address/Post Office Box
_____________________________
City, State, Zip Code
Membership Dues for the year: _______
(Minimum $35 annually)