MEMBERSHIP APPLICATION

Last Name:

First Name:

Business Name:

Primary Mailing Address:

City:

State:

Zip Code:

Primary Phone:

Email:

Three Lakes Address:

Three Lakes Phone:

Lake:

Enclosed is my check for $ including $20 for dues
and an additional $ contribution toward preserving

and protecting our waterways, which may be tax deductible.


Please complete this form, print it and mail it with a check for $20.00 payable to:
Three Lakes Waterfront Association, Inc., PO Box 145, Three Lakes, WI 54562.

Three Lakes Waterfront Association ~ PO Box 145~ Three Lakes, Wisconsin 54562
Email: Info@ThreeLakesWaterfrontAsscociation.com