Mamanasco Beach Club

(Eight Lakes Community Association)

 

2007 Membership Application Form

 

 

Dependent children                                                                 

Ages:                                                               

Address                                                                                   

E-mail Address            _________________________________

Phone number                                                                        

Do you want to be included in the Membership Directory (for distribution to other members)? Yes  ___     No ____

 

Is your boat currently on a boat rack at the beach?  Yes___    No___ If yes, where?                                        

Will you be attending the Opening Day Party on Saturday, June 2^nd?  Yes ___   No ___ 

So we can plan appropriately, please indicate the number of  adults ___ and kids ___ that will be attending.

 

Check all that apply:

_____$175.00 Family/Household Membership for those within watershed, paying by 6/2 ($190 thereafter)

_____$300.00 Family/Household Membership for those outside the watershed, paying by 6/2 ($315 thereafter)

_____$100.00 Single Person Household Membership for those within watershed , paying by 6/2 ($115.00 thereafter)

_____$80.00 Senior Citizen Family/Household Membership for those within watershed , paying by 6/2 ($90.00 thereafter)

_____$140.00 Senior Citizen Family/Household Membership for those outside watershed , paying by 6/2 ($155.00 thereafter)

_____$75.00 Fresh Air or A Better Chance Family, paying by 6/2 ($80.00 thereafter)

_____I would like to contribute an additional $________________ for new beach sand.

If interested, please indicate committee you would like to join:

 

_____Landscaping  _____Social Events  _____Administrative  _____Maintenance  _____Other (Describe on back)

 

I have read and agree to the rules and the conditions of the waiver on Mamanasco Beach Club Website located at:   http://www.geocities.com/mamanasco_2000/3Join.html   Please note this is necessary for membership in the Mamanasco Beach Club.

 

______________________________________    ________________________

(Signature)                                                                   (Date)

 

Please mail this form along with your check by June 2^rst, 2007 or late fees will apply.  Make checks payable to Eight Lakes Community Association, P.O. Box 281, Ridgefield, CT  06877.