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                                         MEMBERSHIP APPLICATION
                                Wapogasset Bear Trap Improvement Assoc., Inc.
                                              P.O. Box 345  -  Amery, WI.  54001

    The Association is committed to lake and water quality improvement, neighborhood watch,
    water safety.  It provides a forum for member input through a trustee designated for the
    various neighborhoods around the lakes.  Donations above basic membership dues are
    used exclusively for Lake Improvement Projects.  Your support is appreciated.

Yes,  I want to be a member of the Lake Wapogasset and Bear Trap Lake Improvement Association

Membership Dues:                                                Voluntary Contributions:          
Basic - $20.00                                                         Bronze - $21-49        Silver - $50-74        Gold - $75+
                                                                                                













I AM INTERESTED IN HELPING WITH:   

                           Clean Boats/Clean Water: ____                Lake Monitoring:  ___     
  
                           Trustee:  ___                                                 Buoy team:   ___

                           Other:  ...   what activity/project? _______________________________________
LAKE WAPOGASSET BEAR TRAP ASSOCIATION   ...   working for you
Last Name(s)
 First Name(s)
  
Lake Property Address
 Residency Address
 Winter Address
Lake Telephone
 Residency Telephone
 Winter Telephone
e-mail address