Membership Form

(Download Link at bottom of page)

Anvil Lake Association

2016 Membership Form

Renewing Member______ Directory Number______________ No Change from 2015? _______ New Member_________

Property Owner(s) Name_____________________________________________________________

Primary Address____________________________________________________________________

City__________________________________________________State_________Zip_____________

Anvil Lake Address__________________________________________________________________

Primary Phone Number____________________ Secondary Phone Number__________________

Anvil Lake Phone Number__________________ Email Address_____________________________

Co-Owner(s) Names and Email Addresses

_________________________________________________________________________________________________________________

Membership Dues: $25. Make your check payable to: Anvil Lake Association

EWM Fund Donations

Please add to check for dues

$100_______ $75______$50 ______ $25 _______ Other $_______

DASH Fund Donations

Please add to check for dues

$100_______ $75______$50 ______ $25 _______ Other $_______

Please Mail Your Completed Form and Check to:

Greg Goodwin, 43495 N. Greenbay Road, Zion, IL 60099

Questions or suggestions: Contact: Phone (847) 269-4001. Email: gcgoodwin3@gmail.com