Membership Form

 

 

RCCC Lake Association P. O. Box 212 Crosby, MN 56441

Membership January 1 to December 31

 

 

Membership Application Year: ______ New Member ___ Renewal of Membership___

 

Name(s)_______________________________________________________________

Lake Property Address ___________________________________________________________

City ______________________________________State ______________ Zip

Mailing address (if different from address above) __________________________________________________________ City ______________________________________State ______________ Zip Home Phone__________________________ Cell phone ____________________________ Email Address_______________________________

Membership fee $25.00

Please send check with application to the address above