Mail In Your Membership Dues

Laketown residents are to pay their membership dues annually.

Your membership year begins on January 1 and ends on December 31 of every calendar year.

Membership Form

Type: ☐ New Membership ☐ Renewal

Category: ☐ Individual ☐ Family

Name: ____________________________________________________________________________

Address: __________________________________________________________________________

Home Phone: _______________________________________________________________

Cell Phone: _________________________________________________________________

E-Mail: _____________________________________________________________________

Membership dues – Non-refundable

☐ Household dues - $20.00

☐ Senior 65+ dues - $15.00

☐ Business dues - $35.00

Please include your completed membership form with your check to ensure funds are allocated properly. Membership dues can be made payable to:

Laketown Association

P.O. Box 2543

Springfield, IL 62708

Due to security issues, this form cannot be submitted online.

It must be printed, filled out, and mailed to the address listed above.

Any online submissions will be rejected to avoid liability of disseminating

personal information in a non-secure manner.

Thank you.

Laketown Neighborhood Association

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