High Rock Lake

COME BE PART OF THE FUN !

If you like to party, enjoy the beach and the lake, meeting new friends and finding new ways to bring joy to other people, then please print and fill out this application.

After filling out this form, please submit it along with ten dollars ($10.00) for your annual dues.  This form is for one person, but if you are married or live with a “significant other”, you may use one form showing both names; however, you need to submit dues for both.

DATE: ____________________________________________

NAME: ____________________________________________________________________________

MAILING ADDRESS: __________________________________________________________________

CITY:  ____________________________________________________________________________

STATE, ZIP: ________________________________________________________________________

HOME PHONE #: ____________________________________________________________________

CELL PHONE #:  _____________________________________________________________________

E-MAIL ADDRESS:  ___________________________________________________________________

HOW DO YOU WANT TO BE NOTIFIED OF MEETINGS AND EVENTS:

E-MAIL ____     HRLRR WEBSITE ____    HRLRR FACEBOOK SITE _____        MAIL_______

Please link your Food Lion “MVP” card to us: ________________________________________

(We need all 12 numbers, including the “little” ones at the start and end).

MEMBERSHIPS ARE DUE EVERY YEAR BY DECEMBER 1^ST.

MAIL TO:

Attn:  Julie Euliss

HIGH ROCK LAKE RIVER RATS, INC.

P O BOX 567

SOUTHMONT, NC  27351

All members are asked to participate in the planning and implementation of (1) event per year.  We really need your help to be successful!