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_______________________________