Watchic Lake Association Membership



Member’s name_______________________________	$ 25________

Lifetime member________________________________	$250________
 

Associate members                        ___ X 	$ 10________
	
      Names______________________________________


      Names______________________________________

Contribution to Watchic Lake Association (optional)$__________

				                                                            
                                        Total  	   $__________



Property owner’s name_____________________________________________

Watchic Lake property location____________________________________

Summer mailing address____________________________________________

     Town__________________________State________  Zip_____________

     Phone___________________________ Email_______________________

Winter mailing address____________________________________________

     Town__________________________State________  Zip_____________

     Phone___________________________ 


     


Please make checks payable to Watchic Lake Association. 


PLEASE RETURN THIS FORM WITH DUES BY JUNE 1, 2010 to:
                          Robert Joslyn, Treasurer
                          Watchic Lake Association 
                          81 Edgeworth Ave. 
                          Portland ME 04103