TO BECOME A MEMBER, PLEASE COMPLETE AND SUBMIT THIS FORM

Cluculz Lake Community Association Annual Membership Fee - $10 per person, $20 per family

Date

MM

DD

YYYY

Name

First Name

Last Name

Spouse or Partner name

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

Please tell us if you would be interested in volunteering for a community event. Do you have any special skills ?

CLCA now has Auto Deposit!

Log on to your online banking account.
Click on the “e-transfer” box.
Add Cluculz Lake Community as a payee or contact recipient with the following email address: cluculzlakecommunity@gmail.com
Choose “email” as the method to conduct the transaction.
In the comment field, please include a message indicating what the e-transfer is for (ie: 2024 Membership Fees)

Alternately, Membership Fees can be paid in person by cash or cheque to Bev Little, 250-552-2505