Enrollment Form – Print & Mail

LEESVILLE LAKE ASSOCIATION

PO BOX 68

ALTAVISTA, VA 24517

NEW MEMBER ENROLLMENT

All Leesville Lake residents, property owners, and lake users are invited to join. We are working on:

  • Lake clean up
  • Mile markers and navigational aids
  • Detailed lake map
  • Safety
  • Water quality and quantity

Your membership goes toward helping accomplish these goals.

Thank you for your help.

______ $25 tax deductible annual dues (payable to Leesville Lake Association and mail to the above address)

Name_______________________________________________________________________
Address_____________________________________________________________________
_____________________________________________________________________________
Phone_______________________________________________________________________
E-mail_______________________________________________________________________
County where lake property located____________________________________________

Comments: What issues surrounding the lake are of concern to you?
____________________________________________________________________________
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