Koronis Lake Association Membership Form
Annual information gathering. Please respond to questions below. The first name and address questions are required, the rest of the form is optional. Thank you for your participation.
Name: *
Limited changes from prior year?
Check here if city/state/zip, phone, permanent and lake addresses, email, and delivery are unchanged from last year, or if there are few changes (please note changes only).
Street Address (Permanent):
City:
State Abbreviation:
ZIP:
Home Phone:
xxx-xxx-xxxx
Cell Phone:
xxx-xxx-xxxx You may include comment, e.g., "John's cell"
Additional Phone:
Email:
Additional Email:
I would like to receive my newsletter by: *
Required
Use Lake Address
If you selected hard copy and prefer delivery to the lake address section, above, please check here.
***Lake Address, if not permanent resident.
Street (LA):
City (LA):
State (LA):
ZIP (LA):
***Would you like to donate?
If so, respond below and either mail check payable to "Koronis Lake Association: to:
Koronis Lake Association
P.O. Box 333
Paynesville, MN 56362
OR - to pay with credit card or PayPal, click on link on confirmation screen that will be displayed after you SUBMIT
Yes, I want to help protect and improve the water quality and beauty of Lake Koronis:
Clear selection
I would like to support annual fireworks on Lake Koronis:
Clear selection
I would like to support the effort against AIS:
Clear selection
***Opportunities to Participate
Listed below are a few opportunities to get involved in KLA. Please indicate the projects you are interested in
so KLA Board members can contact you. I/We would like to support the Association by volunteering my/our
time in the following way:
Opportunity
If you have any suggestions/comments please let us know below. Type as long as you like. This field will add rows as necessary. Thanks!
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