Lake
Madison Development Association
P.O. Box 296
Madison SD 57042-0296
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MEMBERSHIP FORM 2010 Membership Dues $25.00 |
Name of person(s) to be listed in Directory: ______________________________________________________________________________
Mailing Address: (Street Address)____________________________________________________________________
(City)___________________________________________, (State)__________(Zip Code)___________
Phone number and e-mail for directory (optional): (_________) ______________ E-mail:___________________________________________
____Dues $25.00
____Water Quality Contribution __________
Total Enclosed: $_________________
Please make check payable to the Lake Madison Development Association and mail to the address at the top of the form. Thank you.