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:__________________________________________________