Clary Lake Association, P.O. Box 127, Whitefield Maine 04353

2007/2008 Membership Dues:     $20.00

Voluntary Contribution:     _________

Total Amount enclosed:      _________

Membership year: 2007 Annual Meeting to 2008 Annual Meeting.
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Summer Address:

Name ______________________________________________________________

Street ____________________________________________________________

City ____________________ State __________ Zip _________

Phone Number ___________________ Email ____________________________

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Winter Address:

Name ______________________________________________________________

Street ____________________________________________________________

City ____________________ State __________ Zip _________

Phone Number ___________________ Email ____________________________
Send this form along with your check, cash, or money order to the
address at the top, or bring it to the annual meeting!