Council Grove City Lake Association

Dues Card

Name(s)

Lot Number(s)

Lake Street Address

Mailing Address

Email

Second Email

Email

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Second Phone

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Annual Dues

Annual Dues (Please enter the number of lots you own in the box to the right)

($50.00/ea.)

Optional Contributions

General Fund Contribution

$

Legal Fund Contribution

$

Scholarship Fund Contribution

$

Total

$0.00

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Email

Mobile Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

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