@@ Form Sample – Membership | Lake Owen Association

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Lake Owen Association - Annual Membership Statement

Membership Dues *

Annual Membership Dues

$50 per tax parcel per calendar year

Price: $50.00

ADDITIONAL DONATIONS

Additional donations in support of our mission to preserve and protect Lake Owen would be most appreciated. Please indicate your additional investment in keeping Lake Owen pristine.

Donation

$100

$250

$500

$1000

Custom Amount

CUSTOM AMOUNT: Enter a donation of any amount:

Comments

Total

TOTAL

The Lake Owen Association is a not-for-profit-corporation under IRS code section 501 (c) (3). Contributions may be fully tax deductible under federal and state laws. Consult your tax advisor. Thank you for your support of LOA.

Personal Information

Name*

First Last

Address

Please enter the address for your permanent residence:

Street Address Address Line 2 City State ZIP Code

Lake Owen Address:

Email*

Preferred Phone

Credit Card

This field is for validation purposes and should be left unchanged.