Beaver Lake Community Club

P.O. Box 431

Issaquah, WA 98027

2007  Membership Form (Send $30)

Name:

Address:

City: State: Zip:

Phone: Fax: Email

1. Please Mark the information you DO NOT want included in the club directory:

Address    Phone    E-Mail    Fax    Do Not List me in the Directory

2. In order to best plan community events, please complete the following:

    How many adults are in your household?

    What are the names and birthdates of your children (for our birthday calendar)?

    Child 1: Child 2:

    Child 3: Child 4:

3.  Please indicate how you would like to receive the following information:

    a)    Land Use Issues including Potential Road Projects Phone Fax Email Not Interested

    b)    Meeting Reminder with Agenda Updates               Phone Fax Email Not Interested

    c)    Social Activities                                                 Phone Fax Email Not Interested

    d)    Willing to call people for the phone tree               Yes No

4. Please mark what activities are you interested in:

Social and Entertainment  Easter Egg Hunt Not Interested Regatta Not Interested Holiday Party Not Interested

Newsletter    Obtain Information Desktop Publishing Assembly Just like receiving it

Land Use                Beaver Lake Triathlon

Membership            Adopt a Road

Nominations            Friends of the Park

5.  How did you hear about the club?

6. What are your interest in the club?

    Do you have talents that you would like the club to be aware of:

7. What do you like, dislike and/or would add to the newsletter?

8. How would you like to receive the newsletter: Fax Email Mail

9. May we give your name/address/phone# to environmental  organizations?    Yes No

Please complete this form, print it out and mail it with your $30 check to:

Beaver Lake Community Club, PO Box 431, Issaquah, WA 98027

Make sure you check out the rest of our website at www.beaverlake.org