Horseshoe Lake Public Inland Lake Protection and Rehabilitation District - Member Information

To be added to the Lake District member and email lists, please print, complete and mail this form.

Name(s) ______________________________________

Home Address ______________________________________

City/State/Zip _________________________________

Home Phone _________________________________

Email _________________________________

Horseshoe Lake Address ______________________________________

Lake Phone _________________________________    Fire Number _____________

Emergency Contact Name and Phone

__________________________________________________

__________________________________________________

Check here ____ if you grant permission to include your name and contact information in the printed Horseshoe Lake District Directory. The Lake District occasionally prints the Directory or updates to the Directory for distribution to Lake District members. The Lake District does not share membership information with other persons or organizations. Individual member information will not be posted on the lake District website.

Date of completion of this form: _______________________

Mail this form to the Lake District:
Horseshoe Lake Public Inland Lake Protection and Rehabilitation District
PO Box 304
Turtle Lake, WI 54889


LD signup webform rev 06-19

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