Round Lake Property Owners Association, Inc./ 2009 Membership Application

I am interested in serving on the following committee:

? Government Awareness Committee

? Water Quality Committee

? Water Safety Committee

? Membership Committee

? Fish Committee

Name___________________________________________________

Spouse__________________________________________________

Address_________________________________________________

_________________________________________________

City____________________________________________________

State____________________________________________________

Zip_____________________________________________________

Telephone_______________________________________________

E-mail__________________________________________________

Mail to: Round Lake Property Owners Association, Inc.; P.O. Box 1070; Hayward, WI 54843-4048

? Enclosed are my dues for $20.0 for 2005.