FLAMBEAU LAKE ASSOCIATION

PO Box 111 Tony, WI. 54563

JOIN NOW!!! YOUR MEMBERSHIP RUNS THROUGH ALL OF 2008

APPLICATION FOR MEMBERSHIP

2008 – SUPPORTING A GREAT RESOURCE

A. PLEASE PRINT (or attach one of your return address labels)

NAME: ______________________________EMAIL: _________________________

ADDRESS: __________________________________ PHONE: ( )- ___________

CITY: _______________________ STATE: _______ ZIP: _____________

B. CIRCLE ONE: a) individual b) family c) business d) organization.

Each membership is allowed one vote.

C. I AM (WE ARE): -check one- [ ] a lakeshore property owner on Lake Flambeau.

                                            [ ] a resident of Rusk County (but not a lakeshore property owner).

D. I AM INTERESTED IN SERVING ON Board of Directors: _____ yes _____ no

DUES ARE $10 per membership.

AMOUNT ENCLOSED: $______Make checks payable to: FLAMBEAU LAKE ASSOCIATION

P.O. Box 111, Tony, WI. 54563