Membership Application/Renewal

If you are new to the Lake Mississagagon Association, we welcome you! If you are a returning member, welcome back!

Applicants for new memberships should complete all fields on the form. Applicants for membership renewals must complete the name and email address information as well as any other details that may have changed since the last membership period. 

Once you have completed the form, click on the Buy Now button beside the Membership Dues. The PayPay page will appear, click on the Pay with Credit Card option. .
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Is this your first time joining the Lake Mississagagon Association?

First Name:
Last Name:
Email*:

*Note: for returning members, email address must match the email address where you received the membership reminder.

Cottage Street # and Street Name:

B & B Ln Bay Ln Black Sugar Island Bullfrog Bay Ln Deeer Run Ln Eastview Ln Flagpine Ln High Rocks Ln Mississagagon Lake Rd N Star Ln Old 506 Rd Otto Ln W Otto Ln Pickerel Path Ln Pinestar Ln Road 506 Rocky Ln Salmond Ln Sunrise Beach Lane Twin Pine Ln

Cottage Phone #:
City Phone #:
Cell Phone #:
Mailing Address Line 1:
Mailing Address Line 2:
Mailing Address Line 3:

Membership Dues

1 year $25.00 CAD 2 years $50.00 CAD