Membership Form
Please fill out the membership form below, and you can pay by check. Please make checks out to Jose Lake Improvement Association and mail to Joyce Taylor, 215 Center Road Grand Blanc, MI 48439.
Yes, I would like to: *
First Name *
Your answer
Last Name *
Your answer
Additional Names
Your answer
Jose Lake Address
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Lakefront *
Mailing Address
If different than Jose Lake address.
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Contact Information
Email
Your answer
Secondary Email
Your answer
Lake Phone Number
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Membership Information
Please indicate if you would prefer to have your first initial and last name on our Membership Page of our website and if you would prefer to receive communications via email.
Permission to List Name on Website
Receive Communications via Email
Membership Dues
Please be sure to send in your membership dues of $30 to Joyce Taylor, 215 Center Road Grand Blanc, MI 48439.
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