MemberForm

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:

Kathy Wagner, Membership Director

1413 Wabedo Pass Rd NE, Longville, MN 56655

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ACCL Dues for 2020 (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 ______

2020 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:__________________________________________________