Membership Application


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MEMBERSHIP APPLICATION

I (we) hereby submit our application for membership in the Chapman Lakes Conservation Association, Inc.: (CLICK HERE for more membership information.)

Your name: _____________________________________________

Lake address:__________________________________________

Warsaw, IN 46582 Lake Phone: _________________
(In order to determine qualifications for a Class 1, resident voting membership, we must have your exact lake address.)

(NOTE: We need to know if and when you do not live at the lake for newsletter mailing purposes. Mail will go to your lake address if you do not indicate otherwise below.)

I live at the lake during the following months: ________________________________________________________

(List your mailing address when not at the lake on the following lines.)

Mail address: _________________________________________
City: _____________________________ST: ___ ZIP___________
Comments: _______________________________________________________________
____________________________________________________________________________

Enclosed is our check for : [ ] Single membership $25. [ ] Two memberships $50.

^{[See membership requirements below]}

I'm including my contribution of $_________ for the annual Independence Fireworks.

(Contributions to CLCA are not tax-deductible.)

PRINT THIS PAGE AND MAIL WITH YOUR CHECK (No cash, please) PAYABLE TO:

CLCA
P. O. Box 776
Warsaw, IN 46581-0776


	Your tax-deductible contribution for Lake Enhancement projects may be made payable to the Chapman Lakes Foundation, Inc., and sent to the above address. Your financial help is needed now!


	Membership in CLCA is invited as follows, in part: Article V, Sec.2.--CLASS 1--Property Owner/Resident Member. Upon payment of annual dues, those holding or occupying real property which is frontage, channel, or has direct deeded private access to either Chapman Lake. Multiple memberships for multiple properties or lots shall be prohibited. Two adult members are permitted per property. The Articles of Incorporation further set forth definitions that permit occupying tenants to become Class 1 members and define corporate and mobile home park membership availability. Please refer to the complete Articles of Incorporation and By-Laws of this organization for complete information. Non-voting Associate Memberships from any adult who wishes to support CLCA are encouraged and welcome.


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