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SCHROON LAKE ASSOCIATION Membership Form NAME(S) ____________________________________________________________________ LOCAL MAILING ADDRESS __________________________________________________ ______________________________________________________________________________ WINTER ADDRESS (if different)_ _______________________________________________ __________________________________________________________________ BEST TELEPHONE ___________________________________________________________ EMAIL ADDRESS ____________________________________________________________ (Must be provided. Future SLA communication will be by e-mail.) Our funding is best used to protect the Lake waters. Moving forward we would prefer to communicate less expensively by using e-mail rather than the U.S. Postal Service. If you do not have an e-mail address, please note above. The Schroon Lake Association protects the quality of the Lake water that we all enjoy. But, that comes at a price... We need your support to keep our Lake beautiful. Please choose a level of Membership below and donate to the Lake accordingly. Thank you. Levels of Membership ___ Individual $15.00 ___ Couple/ Family $25.00 ___ Lake Supporter $50.00 to $99.00 ___ Lake Steward $100.00 to $199.00 ___ Lake Guardian $200.00 to $499.00 ___ Lake Patron $500.00 and above. Please mail this form with your check made payable to: Schroon Lake Association, P.O. Box 5, Schroon Lake, NY 12870-0005.