Eau Claire Lakes Conservation Club
Dues, Membership and Donation



 

Name:  ___________________________________

Address  __________________________________

City ______________________________________

State  ______________________  Zip  __________

Number of Memberships @ $2.00  ____________

Additional Donation $  ___________

Total enclosed  $  _____________

 


Return payment information to:
Eau Claire Lakes Conservation Club, Inc.
c/o State Bank of Drummond
50490 State Highway 27
Barnes WI 54873