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Round Lake Property Owners Association, Inc./ 20__ Membership Application

I am interested in serving on the following committee:

□ Government Awareness Committee

□ Water Quality Committee

□ Water Safety Committee

□ Membership Committee

□ Fish Committee

Name___________________________________________________

Spouse__________________________________________________

Address_________________________________________________

_________________________________________________

City____________________________________________________

State____________________________________________________

Zip_____________________________________________________

Telephone_______________________________________________

E-mail__________________________________________________

Mail to:  Round Lake Property Owners Association, Inc.; P.O. Box 1070; Hayward, WI 54843-4048

Annual Dues:  $25/year payable to Round Lake Property Owners Association.

$25 additional recommended for milfoil.