Star Lake Property Owners’ Association, Inc.

P.O. Box 155, Dent, MN  56528

 Membership Information Form ( ___ New or ___ Renewal)

PLEASE PRINT

Name(s): _______________________________________________________________

Mailing Address: ________________________________________________________

Town, State, Zip: ________________________________________________________

Star Lake Street Address (If Different)__________________________________________

Phone(s):  ______________________________________________________________

E Mail Address: _________________________________________________________

I/we certify the we  ____ ARE    ____ ARE NOT   Star Lake property owners.

Dues:     $25 -Star Lake Property Owner: Individual, Family,

                                Corporation, Partnership.  (Voting Membership)

$20 -Associate Member:  Non-Property Owner supporting the objectives of   

             the Association.  (Non-voting Membership)

I am interested in volunteering in Association activities as follows:

___ 1.  I/we would be interested in working on the following Star Lake

              Association project:

                        ___ a.  Water Testing / Water Safety

                        ___ b.  Adopt A Highway Clean-up

                        ___ c.  Annual Picnic

                        ___ d.  Membership Communications / Web Site

                        ___ e.   Other ______________________________________________

___ 2A.  I am interested in running for a board of directors’ position.

___ 2B.  Or, I would like to nominate the following member as a candidate for the board (Obtain Permission):
Name/Address/Phone _______________________________

________________________________________________________________________

___ 3.  I want to be a member, but prefer not to volunteer at this time.

Ideas, Comments or Suggestions for the board of directors: ________________________________________________________________________ ________________________________________________________________________________________________________________________________________________

Signature(s) _______________________________________________Date _________

Please complete this form, include dues payable to the Star Lake Property Owners’ Association.   Mail to the above address or give it directly to any Star Lake Association