SLPOA MEMBERSHIP FORM
(Jan 1- Dec 31)
Membership Type:
Developed Lot Owner ($100)
Undeveloped Lot Owner ($50)
Total $
Name:
Mailing Address:
Home Phone:
Cabin Phone:
(530)
Property Street Addr:
Subdivision/Lot#:
Your email address:
check to not receive newsletter
in postal mail but rather an email
indicating the newsletter is available online
check to be listed
in the white pages
check to received announcements
via email
Alternate email:
Choose a userid:
suggestion- use your email id
Password:
Extra Newsletters:
# of extras
* $10/extra (give names/addresses below)
Total $
Multiple ownership?:
check here
and list other owners’ names, addresses, and phone numbers below
Why this name?
Send the Newsletter ($10)
Joint Owner
Name:
Mailing Address:
Home Phone:
Email Address:
check
to not receive newsletter in postal mail but rather an email indicating the newsletter is available online
Why this name?
Send the Newsletter ($10)
Joint Owner
Name:
Mailing Address:
Home Phone:
Email Address:
check
to not receive newsletter in postal mail but rather an email indicating the newsletter is available online
TOTAL
Please print this form & make checks payable to:
SLPOA
and mail to: PO Box 669, Soda Springs, CA 95728
Total $