Friends of Lake Williams, Inc.

Membership Drive

Enclosed is my/our check for membership dues for the period of June 30, 2010 to June 30, 2011.

Note: The dues are $30 per member.

Name: ______________________________________________

Street Address: _______________________________________

City/State/Zip: ________________________________________

Telephone Number: ___________________________________

E-Mail: ______________________________________________

Amount Enclosed: $______

Includes Dues $_______ Tax deductible donation $_______

Please mail your check and this form to Lake Williams Campground, PO Box 196, Amston, CT 06231.