PERCY LAKE RATEPAYERS’ ASSOCIATION

MEMBERSHIP REGISTRATION-2014

 

 
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 make payment by:

cheque payable to the Percy Lake Ratepayers’ Association

c/o Errol Farr  123 Imperial Cr.,  Bradford  ON  L3Z2N3; or

PayPal to info@plra.net; or

Email Money Transfer to info@plra.net

 

Download a hardcopy of the Membership Form