BERLIN LAKE ASSOCIATION
Membership Application
NAME__________________________________ Date__________
Home Address___________________________________________
City____________________State_______Zip_________
Lake Address____________________________________________
City_____________________Zip___________________
PHONE (home)_____________ (lake)________________
Occupation______________ EMAIL__________________________
How do you use the lake? boating_____, fishing_____,
Other_________________
Your main issues/concerns_________________________________
______________________________________________________________________________________________________________
_______________________________________________________
Are you interested in contributing time to the association? If yes, please check those that apply
Committee member_____, Officer_________
Service volunteer______, Director_________ Other____________________
COMMENTS_________________________________________________________________________________________________________________________________________________________________________________________________________________
________Enclosed $25.00 membership dues (entitles each household to two voting memberships). Please make checks to: Berlin Lake Association
P.O. BOX 54
Email: lynne.berlinlake@gmail.com