Kennebec Association
Welcomes You to our lake
Membership Application/Renewal
This is the Kennebec Association membership application/renewal form. Applicants for new memberships should fill out the form completely. For membership renewals, please include at minimum your name and e-mail address, and also any information that may have changed since the last renewal. Once the form is filled out click on the Buy Now button to pay with credit card, when you arrive at the PayPal page click on the Don't have a PayPal Account in the lower right hand corner. In addition to using PayPal for membership fees, members have two further options. The first is an e-transfer to the treasurer using the
email account (remember to please include your name and lake address in the message box on the transfer page). The second option is to mail a cheque to Treasurer, Kennebec Lake Association, Box 14, Arden, ON K0H 1B0.
Is this your first time applying for Kennebec Association membership?
First Name:
Last Name:
Email:
Cottage Street Number and Name:
Airport Way
Baker Valley Road
Beaver Creek Lane
Beaver Lake
Bebris Road
Blue Heron Ridge
Blueberry Road
Boulder Hill Lane
Crooked Creek Lane
Graham Road
Gregory Way
Harrington Lane
Harrison Lane
Henderson Road
Kay Lane
Knight Lane
Lakeshore Road
Lipsett Lane
Morrison Lane
Nordic Road
Partridge Trail
Pleasant Hill Lane
Pranger Court
Red Oak Road
Richardson Road
Rssland Lane
Stoll Lane
Thrush Trail
Turner Way
Tyeard Bay Lane
Waters Edge Lane
Wilkes Lane
Cottage Phone Number:
City Phone Number:
Cell Phone Number:
Mailing Address Line 1:
Mailing Address Line 2:
Mailing Address Line 3:
Membership Dues
1 year $25.00 CAD
2 years $50.00 CAD
3 years $75.00 CAD
Donation
$10 donation $10.00 CAD
$25 donation $25.00 CAD
$50 donation $50.00 CAD
$100 donation $100.00 CAD