Membership Application

 

Annual membership dues are only $25 and are due in January of each year.

Please mail your dues and completed application form today to:
Potato Lake Association
PO Box 625
Park Rapids, MN 56470

Name:_______________________________________________________

Address:_____________________________________________________

____________________________________________________________

City:________________________________________________________

State: ______________ Zip Code: _______________________________

Phone Number:________________________________________________

Email Address:________________________________________________

Potato Lake Address, if different than above:

Address:_____________________________________________________

____________________________________________________________

City:________________________________________________________

State: ______________ Zip Code: _______________________________

Phone Number:________________________________________________

Email Address:________________________________________________

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