Matagamon Lake
Association, Inc.

Membership Form

Name:

Address:

Tel. #

Yes, I am interested in joining the
Matagamon Lake Association, Inc.

Yes, I am interested in joining the Matagamon Lake Association, Inc. and would like to pledge $in support thereof:

No, I am not able to join the Matagamon Lake Association at this time but would like to pledge $ in support thereof:

Please fill out, print and mail to:

**Please fill out, print and mail to either:**
Donald Dudley P.O. Box 676 Patten, Maine 04765	Noreen Peters 753 Hudson Road Glenburn, Maine 04401

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Name:
Address:
Tel. #
Yes, I am interested in joining the Matagamon Lake Association, Inc.
Yes, I am interested in joining the Matagamon Lake Association, Inc. and would like to pledge $in support thereof:
No, I am not able to join the Matagamon Lake Association at this time but would like to pledge $ in support thereof:
Please fill out, print and mail to: