Join Us At Mousam Lake Region Association

Mousam Lake Region Association works to preserve, protect and defend the quality, safety and natural beauty of Mousam Lake. We hope all property owners are members. With everyone's support, we can continue to work at protecting our lakes for many years to come.

To join, please complete the form and submit. You can pay via credit card through PayPal or use your Paypal account to remit your dues.

To renew, use the Renewal Form instead, please.

1. Membership Type

Annual Membership - Online membership registration for lake property owners.

Rate: $30.00 every 12 Months

2. Member Contact Info

*First Name
*Last Name
*Email Address

3. Member Addresses

First Address:
*Street Address
*City
*State
*Country
*Zip Code

Second Address:
Street Address
City
State
Country
Zip Code

Third Address:
Street Address
City
State
Country
Zip Code

4. Donation Details (optional)

All donations to the General Funds are used at the discretion of our lake association based on priority of needs.

All Courtesy Boat Inspection donations will be used to support the public ramp boat inspections performed by ASYCC.

All donations to the Water Quality Improvement Fund will be utilized to mitigate any event which would cause harm to the water quality of the Mousam Lake Watershed Region.

5. Payment Details

Membership Amount:
$
Donation Amount:
$
Total Due:
$

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