Application To Join
The High Rock Lake Association
www.HRLA.com
It is not necessary to own property on High Rock Lake, just a desire to help improve High Rock Lake. Membership is $25.00 per calendar year, $60.00 for three years, or $500.00 for a Lifetime Membership. Many members choose to make an additional contribution to assist in the work of the Association. We welcome everyone.
Name:_______________________________________________________
Home Address ________________________________________________
City:______________________________________ State: _____________
Zip Code:_____________
Mailing Address (if different from above)
____________________________________________________________
____________________________________________________________
Home Phone #:__________________________
Email address:________________________________________________
Do you prefer notices via Email? _____Yes, _____No. (Circle Preference)
If you are a property owner on High Rock Lake, list your location and/or subdivision
____________________________________________________________
Lake Address (if different than Home Address):
____________________________________________________________
____________________________________________________________
____________________________________________________________
Would you like to become a Volunteer? ____
Annual Dues Payment $________.00
3 year Dues Payment $________.00
Lifetime Membership $________.00
Contribution $________.00

Total Payment $________.00
Please make your check payable to The High Rock Lake Association Inc.

Please mail completed application to:
HRLA
PO Box 159
Southmont, NC 27351