HLA Membership Application 2008
First Name:
Last Name:
Membership #
Zone #
If you do not know which zone please reference Zone map on the"Contact Us" tab.
I am NOT a property owner but I wish to become an Associate Member. Mark Box
Propery/Location Address: This is to make sure you are properly placed in your zone area for those who have parcels but no
physical address.
Address:
City:
State:
Zip Code:
Phone:
Email:
Mailing Address if different than above
Address:
City:
State:
Zip Code:
Membership fee $ 20.00 per year Check enclosed
Money Order
Optional Donation Holloway Lake Fund
Amount Enclosed
Make checks or money order payable to
Holloway Lake Association.
Print form and MAIL TO: Holloway Lake Association 5391 Sandy Lane Columbiaville, MI. 48421
