PERCY LAKE RATEPAYERS’ ASSOCIATION

MEMBERSHIP REGISTRATION-2018

 

 
Name:  
Percy Lake Address:
Home Address:
 
City:
Province:
Postal Code:
Home Telephone:
Cottage Telephone:
Email Address:

If you do not want your name and/or phone number to be included on next year’s emergency phone number list for the lake, please check the box below.

Do NOT place my name/numbers on the emergency list:

Registration Fee - $30.00

Please remit payment and this membership form to our treasurer either via E-mail transfer

OR, mail as follows:

1) Interac transfer to: kokov@yahoo.com

Password: Percy Lake

Please use text message to indicate your cottage address

OR

2) By cheque payable to the Percy Lake Ratepayers’ Association (or cash) to:

Koko Yamamoto, Treasurer
 65A Humbercrest Blvd
Toronto, ON M6S 4K6

 

Note: If you do not want your name and personal information

to be included on PLRA's phone number/email list for the lake,

please sign the form ... Otherwise, leave the signature block empty.

 

Download a hardcopy of the Membership Form