Torch Lake Protection Alliance
Family Membership Application and Renewal Form

Web Site Form

2008

 
     We are new members           I / We are renewing our existing membership

 Mr. / Mrs. / Ms. / Dr., Last Name___________________________________________________________________________________

 First Names___________________________________________________________________________________________________

 Torch Lake Street or PO BoxAddress_______________________________________________________________________________

_____________________________________________________________________________________________________________

 City_________________________________________, Michigan    Zip Code___________

 Torch Lake Phone Number_____________________________________  Cell Number___________________________________

Email Address________________________________________________________ FAX Number__________________________

 Torch Lake Township ______________________________________________________

 Winter Street Address__________________________________________________________________________________________

 City _______________________________________________________________State________________Zip Code______________

 Winter Phone Number ________________________________________      FAX___________________________________________

     I know a friend or neighbor who is not a member of TLPA, please send me an application form so that I may  personally encourage them to join. 

    Send Mail and notices as follows:
        Always to Torch Lake address           Always to winter address
                     May- September to Torch Lake address, rest of year to winter address

  Torch Lake Protection Alliance is a 501 (C) (3) Corporation, your dues plus contributions are tax deductible.

      Yes, count me in as a member!     Here's my ____________(year) dues of $100.00

                         Additional contribution to TLPA                             $______________
                         Additional contribution to Legal Defense Fund     $______________
                                                                                     Total Enclosed  $______________

Make your check payable to: TLPA,
Mail your check and this application to:  PO Box 706 Bellaire, MI 49648

Please check the boxes that apply.Your responses will only be used by TLPA for reference or for providing you with additional informationse.

Torch Lake is my primary residence.

   I /We are registered voters in our Torch Lake township, with a total of _____registered voters. 

        Please rate the following in order of importance, with 1 being the most important and 5 being the least important. Which of these topics concern you most as they relate to Torch Lake:

                       ____   Water Quality

                             ____    Safe and Responsible Boating

                ____    Township Zoning Enforcement

                 ____   Establishing and maintaining Township Master Plans for controlled growth

                 ____    Other_________________________________________________________

  I/We would like to become more involved with TLPA, let me know how.

I/We know of a problem affecting Torch Lake that we need to address.                    

I/We would like to know more about making TLPA financially stronger.  What kind of funding, endowments and      contribution opportunities are available?

I/We would consider a position on the Board of Directors or as a Block Captain.

 I would like to share my email address with you for urgent information and time sensitive updates.  I know you will not provide this information to anyone else. 

            My email address is:_____________________________________________________________

             I/We are also involved in other area conservation organizations.

            They are______________________________________________________________________

Thank you for helping us grow.