Membership Dues Application

POKEGAMA LAKE ASSOCIATION 2019 MEMBERSHIP APPLICATION

The Pokegama Lake Association (PLA) membership dues are $35.00 per household.  Please complete the application below and indicate all members within the household.   Checks should be made payable to Pokegama Lake Association and mailed to:  Jo Ann Laumeyer, Membership Chairperson, 18584 Big Aspen Trail, Pine City, MN 55063.  If you have questions, call Jo Ann at (320)-629-3490–home or (612) 819-8783—cell.

Membership is open to everyone interested in the PLA goal of promoting the protection and improvement of Pokegama Lake.

Would you like your address and phone number published in a membership directory?  (Circle)                  YES   or    NO

Primary Member(s):                                                                                                                                                                                      

Number of additional members in the household:               Names of additional household members: _________
____________________________________________________________________________________________

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:

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 any suggestions or know of any other local events for PLA to sponsor or participate in, contact one of our Board of Directors members posted on the reverse side of this form, or include a note with your application.

Fresh Water Fair in Spring          Lake Improvement Committees           Weedcutting          Seasonal Socials       Corn Booth at the Pine County Fair      Food Booth @ Freedom Fest             Summer Picnic    Holiday Jingle & Mingle 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 Big Aspen Trail, Pine City, MN 55063