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January, 2004

2004 Membership Registration

If you need a copy of this to submit with your 2004 Membership Dues, feel free to print this page.

The key program for the gate locks will be used again this season.  Your new keys will be available to pick up at the Annual Meeting in May.  Please sign and return this application with your dues and get your association off to a great start in 2004!

I, the undersigned, on behalf of myself, my family, and our guests agree to hold harmless and indemnify the Civic Association of Hammond Lake Estates, its' Officers, Directors and Membership from any and all claim resulting from the use of any Association property, fixtures, recreational equipment, beach, or water frontage.

    Name: _____________________________________

    Street: _____________________________________

    City & Zip Code: _____________________________

    Telephone: _________________________________

    Email address: ______________________________

    Names of Children living at home: ________________

    __________________________________________   

    __________________________________________

2004 Membership Dues

Members $120.00        Senior Members $115.00

 

____________________________________        __________________________

(Signature)                                                                      (Date)

 

Copyright 2007 - Civic Association of Hammond Lake Estates

PO Box 7192

Bloomfield Hills, MI  48302-7192

contact:  info@hammondlakeestates.com

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