Membership Form

membership form

Complete the following online Membership Form. After clicking SUBMIT, remember to send a check made payable to the CLAA | P.O. Box 32 | Elkhart Lake, WI | 53020-0032 for the TOTAL amount contributed. THANK YOU!

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Spouse/Partner *

First

Last

Phone Number *

Email *

Lake Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (if different than lake address) *

Line 1

Line 2

City

State

Zip Code

Country

Select Membership Type *

Household ($50) Crystal Club ($100)

In addition, we would like to include a contribution to help support:

Independence Day / Venetian Night Fireworks *

Red = $1,000 White = $500 Blue = $250 Other Amount

Weed Control / Water Quality: specify amount *

Pair of 20oz Crystal Lake Yeti Rambler Tumblers *

Pair of mugs ($125)

Total Contribution: Membership + additional contributions *

Submit

After clicking SUBMIT, make sure to send a check made payable to the CLAA, P.O. Box 32, Elkhart Lake, Wi 53020-0032

Membership form

membership form