Membership Dues Application

POKEGAMA LAKE ASSOCIATION 2017 MEMBERSHIP DUES APPLICATION

The Pokegama Lake Association (PLA) membership dues are $35.00 per year per household.  Your membership runs from January 1 through December 31 each year, regardless of when dues are paid.  Please complete the application below and indicate all members in the household.

Membership is open to everyone interested in the PLA goals of promoting the protection and improvement of Pokegama Lake.  If you do own property on the lake, please provide your lake address.   We respect your privacy and do not include personal information in the membership list that is published in the newsletter twice a year.

Primary Member(s):_________________________________________________________________________

               Additional members in the household:___________________________________________________________

Primary Mailing Address:____________________________________________________________________

City ____________________________________________  State _________  Zip Code ___________________

Phone: ____________________Email Address:____________________________________________________

Lake Address (if any):_____________________________________________ Phone:_____________________

Should PLA Newsletters be sent to your primary mailing address year-round?  Yes _______  No ________

If no, when should PLA Newsletter mailings be suspended or changed?  ____________________________

Please provide alternate mailing address for the dates given above _________________________________

Alternate Address: __________________________________________________________________________

City: ________________________ State:  _________________  Zip Code:  ____________ 

Listed below are a few of the many opportunities to get involved in the PLA.  Please circle the activities in which you are interested so committee members can contact you. If you have suggestions or know of any other local events for PLA to sponsor or participate in, please let us know.

Fresh Water Fair in Spring      Lake Improvement Committees        Weedcutting                  Seasonal Socials        

Corn Booth@ Pine County Fair    Food Booth  @ FreedomFest        Summer Picnice       Christmas Party

Please send this application along with a check payable to Pokegama Lake Association in the amount of $35.00 per household to:

Jo Ann Laumeyer, Membership Chairperson

18584 Aspen Trail

Pine City, MN 55063 

If you have questions, call Jo Ann at 320-629-3490 or cell 612-819-8783