POSSUM KINGDOM LAKE ASSOCIATION
                                                            Membership Form     

                                                                                                                June 2010 – June 2011

ASSOCIATION MISSION STATEMENT

The Possum Kingdom Lake Association will organize as a group to help protect the lake’s
environment and bring people together as a community of shared interest or need.

PKLA will build awareness of shared needs through promotion and outreach by providing
forums for community involvement with a priority of protecting the lake’s resources
and lake community.

Your membership dues include a “Posted Reward” for information leading to the arrest
and conviction of a person or persons who burglarize, vandalize or molest lake property
of a current Association member.

PLEASE COMPLETE AND MAIL IN THE MEMBERSHIP APPLICATION.
MAKE CHECKS PAYABLE TO “POSSUM KINGDOM LAKE ASSOCIATION”.
 MAIL FORM AND CHECK TO:                    (Or bring this form to our Annual meeting in June)

PKLA
P.O. BOX 492
GRAFORD, TX 76449                        THANK YOU NEIGHBOR!

2010– 2011 Membership Form

Name: ____________________________________________________Phone_______________

Mailing Address_______________________________City_______________State____Zip______

Lake Address___________________________________City_______________State____Zip______

Annual Dues:  June 30 to June 30.................................................... .$40

Donation to the Property Protection Fund for Legal Assistance    $__________
                                                                       Total Amount Enclosed___________________
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
YEAR 2009-2010 STICKERS FOR YOUR EXISTING METAL SIGNS – No. NEEDED______
Please Circle: Do you need a metal membership sign?          Yes               No

PLEASE Circle:  Full Time PK Resident       Yes        No          Over Age 65?       Yes       No

FOR MEMBERS’ ALERT SYSTEM
It is important that we have your e-mail address for contacts with timely issues.
Your E-Mail address is used only by the Association.  
 
Print E-Mail Address__________________________________________________________
                A source of up- to- date information in time to do something about your concerns

Members are a “Wealth of Information.”  Please consider an area of expertise or background
where you would be willing to help and share your knowledge:
Willing to help with___________________________________________________________