Horseshoe Lake Public Inland Lake Protection and Rehabilitation District

Lake District member sign up sheet for the 2017 Lake District Picnic
Saturday, August 12th, 4:00 pm,
County Line Bar and Grill, 3 220th Ave, Comstock, WI 54826.

 Please return this form by July 8th!

There will be # ___________of our family and guests attending the August 12th Picnic.

Number of adults ______

Number of children _____

(Maximum: 6 persons)

- Lake District Member Name_____________________________________________________________

- Address__________________________________________________________

- City_________________State___________Fire #________

$5.00 per person. Please mail checks payable to HILA (Horseshoe Lake Improvement Association).

Print, complete and mail this form to:

Pam Nelson
1670 1/2 Street
Turtle Lake, WI 54889.

-- or --

by July 8th, e-mail the above information to: pjninsurance@gmail.com


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