Lake Minnewawa Association

Member Application

Please note: This form is currently under construction.

Membership Form

First Name

Last Name

Spouse’s Name

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Lake Address

Address Line 1

Address Line 2

City

State

Zip Code

Lot Number(s)

Cell Phone

Home Phone

Lake Phone

Individual or Business Membership

Individual

Business

Business Name

Business Contact

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Country (optional)

Business Phone

Business Email

Do you want to be listed as a Lake Minnewawa Association Business Sponsor?

Yes

Individual Membership Level

Business Membership Level

Pay with Square

Square test mode activated