HLPOA Membership Application

SIMPLY PRINT THIS PAGE THEN FILL IN THE FORM AND MAIL TO THE FOLLOWING ADDRESS ALONG WITH YOUR $75 CHECK MADE PAYABLE TO:

HIGGINS LAKE PROPERTY OWNERS’ ASSOCIATION

P.O. BOX 55

Roscommon, MI 48653

Name(s) ________________________________________________________________

Winter Mailing Address __________________________________________________

Summer Mailing Address __________________________________________________

Winter Telephone No. _______________ Summer Telephone No.__________________

E-mail: ________________________________________

Lake Address (If different from summer address):

(  ) Mail to winter address year around or from ____________ to ______________

(  ) Mail to summer address year around or from ____________ to ______________

(  ) $75 Membership Dues Enclosed

Contact the HLPOA office with any questions: 989-275-9181 or E-mail at: hlpoa@charter.net

Office hours are Monday thru Friday 10:00am to 3:00pm