Hudson Lake Conservation Association, Inc.

 Roster Information Form and Annual Dues Form

 05-10-09

 

Mission:   Promote and strive to continually upgrade the quality of the conservation & recreation of Hudson Lake, IN.

 

Membership is being offered to all people who have an interest in making Hudson Lake the best it can be.  Our mission statement above states our major thrust.  We are asking you to join by filling out the information below so that communication throughout our association can flow freely.  The overall goal of this form is to ensure that everyone is kept up-to-date on the status of our projects. 

 

Checking our website at www.hudsonlakeindiana.com will also help keep you informed. 

Our annual membership fee is $25.00 to cover our cash portion of 10% of each grant.   Membership fees are due each year on May 31.

 

Date                          Dues Year           Area Rep                                             

 

Make check payable to:  Hudson Lake Conservation Association and send your fee directly to our HLCA President, Bill Companik at  7365 E. Hudson Pointe Lane,  New Carlisle, IN,  46552

 

Check One:      New Member      Current Member Annual Renewal

 

Last Name                                     Mr.                         Mrs./Ms.                       

Residence Address                                                                                           

                                                                                                                       

Home Phone                                            Cell Phone                                        

E-Mail ID                                                 Home Fax                                         

Work Phone                                             Work Fax                                          

 

If your cottage is your residence,  just enter “same” below:

 

Cottage Address                                                                                              

Cottage Phone                                               

 

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