2012 MEMBERSHIP 

The Cross Lake Association of Pine County 

Serving Cross Lake and Snake River

Name(s) of member_________________________________________________________________

     Mailing Address _________________________________________________________________

     City, State, Zip___________________________________________________________________  
  
     Phone number:  __________________________E-Mail____________________________

Our Pine City area property is on (please circle one)         Cross Lake        Snake River          Other

Seasonal address of Pine City area cabin: ___________________________Township________________

Membership Categories:  (check one) 

______Regular, adult couples/$15               _____Contributing $20-30               _____Associate $35-45
 

_____Sustaining $50-75          _____Sponsor $100          _____Lifetime $500          _____Benefactor $800

Areas of Interest:    I would be willing to help with the following (circle those that apply).

 Officer or Director     Membership     Advertising     Fisheries     Water Quality     Water Safety 

Fund Raising     Educational Programs     External Affairs  (attend township or county board meetings)
 

Taxation     Newsletter (articles)     Social Events     Boat Parade     Pine County Fair Booth and Parade
 

Senior Outing    Scholarship Committee     

 FROM YOUR HEART. . .
We are always grateful for any additional funds that may help us with Water Quality efforts.  If you should be so inclined - and want to supplement our very limited funds - you can check here if hyou would like to donate money towards this very important project.
_________Yes, i want to invest in the Water Quality projects.  i am sending
$________ above and beyond any Membership Fees to assist with this effort.
Thank you so much from the Hearts of Cross Lakers!

Make your check payable to:  The Cross Lake Association of Pine County

Mail to:   The Cross Lake Association, P.O.Box 325, Pine City, MN 55063