Friends of Lake Williams, Inc.
Membership Application
Enclosed is my/our check for 2012/2013 membership dues for the period of July 1, 2012 to June 30, 2013.
q $30.00 Individual Membership
q $60.00 Family Membership (2 or more people)
q $_____ Tax deductible donation
Name: ______________________________________________
Street Address:_______________________________________
City/State/Zip: ________________________________________
Telephone Number: ___________________________________
E-Mail: ______________________________________________
Please make checks payable to Friends of Lake Williams and send your dues and tax-deductible donations to:
Friends of Lake Williams
PO BOX 216
Windsor CT 06095