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ACCL Membership Form
 
To become a member of the ACCL, print out this page, fill in the information and send the form and a check made payable to ACCL to:
Bob Iversen, Treasurer
5340 County 71 NW, Hackensack, MN 56452
 
ACCL Dues for 2017 (select one):
___ Lake associations with < 100 members: $60.00
___ Lake associations with > 100 and < 200 members: $125.00
___ Lake associations with > 200 members: $150.00
 
Optional Donation - Greatly appreciated from Your Lake Association or from your members for special projects By ACCL ______

 
2017 ACCL Lake Association Membership Form and Contact Information
 
Lake Assoc Name _______________________________________________  Township Name _____________________________________

(Please provide changes or updates from last year's organization data to any items listed below):
 
Number of members:____________ Dues amount:___________Website:________________________________________________
 
# of Lakes in Assoc _______  Lake names ______________________________________________________
 
Contact person __________________________________________________ Lake Assoc position (pres, secr, etc.) ___________________________
 
Address ________________________________________________________
 
City/St/Zip ______________________________________________________
 
Phone __________________________________________________________
 
Email ___________________________________________________________
 
 
Lake Association Contacts:
 
President:___________________________________________________________  Email ____________________________________
 
Treasurer:___________________________________________________________  Email ____________________________________
 
Newsletter Editor:____________________________________________________  Email ____________________________________
 
Lake Assoc website:__________________________________________________
 
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