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Membership Form
HLPOA GIFT MEMBERSHIPSIMPLY PRINT THIS PAGE THEN FILL IN THE FORM AND MAIL TO THE FOLLOWING ADDRESS ALONG WITH YOUR $75 CHECK MADE PAYABLE TO: HIGGINS LAKE PROPERTY OWNERS’ ASSOCIATION P.O. BOX 55 Roscommon, MI 48653
GIFT
MEMBERSHIP APPLICATION FOR: Name(s)
________________________________________________________________ Winter
Mailing Address___________________________________________________ Summer
Mailing Address _________________________________________________ Winter
Telephone No. ________________Summer Telephone No. ________________ E-Mail:______________________________________
Lake
Address (If different from summer address): ( ) Mail to winter address year around or from ____________to _______________ (
) Mail to summer address
year around or from ____________to _______________ ( ) $75 Membership Dues Enclosed
Contact the HLPOA for additional information or questions: 989-275-9181 or E-mail: hlpoa@charter.net Office hours: Monday thru Friday 10:00am to 3:00pm
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