Please fill out this application and mail it to:

Higgins Lake Civic Association

P.O. Box 40

Higgins Lake, MI 48627 

 

 Last Name_________________________First Name(s):___________________________

Mailing Address___________________________________________________________

City_________________________ State ____________ Zip________________________

Summer Address___________________________________________________________

City_________________________ State ____________ Zip________________________

Subdivsion Name: _________________________________________________________

Home Phone: _________________________ Summer Phone: ______________________

E-Mail Address: ___________________________________________________________

Are you willing to work on any committees? _____________________________________

Membership Dues ($30.00) _______________________

Donation $_____________________