____Renewal ____New Dues for 1 year (July 1st to June 30th)
____$15 for first member of household ____$13 for each additional member of
household
Total membership dues enclosed $____________
Name(s) _______________________________________________
Mailing address _________________________________________
_________________________________________
Roads End address ________________________________________
Home phone # (____)___________ Roads End phone # (____)___________
E-Mail address ___________________________________
Please check all that apply:
____Full time resident ____Part time resident ____Land owner
____Rental owner
I wish to receive my news letter via (please check one) ____E-Mail ____Postal
Service
Please complete and return with your check to:
Roads End Improvement Association
PO Box 182
Lincoln City, OR 97367-0182
________________________________________________________________________________