L’Association pour la protection du Lac des Seize Iles

SILCA

Membership Application

16 Island Lake Conservation Association

C.P. 346 Lac des Seize Iles, Q.C. J0T 2M0 Tel: (450) 226-2601
Email:   

http://www.websitesrcg.com/silca/

donaldsmithers@hotmail.com

Help to preserve the "Lake Experience" for future generations by supporting the 16 Island Lake Conservation Association.

We monitor the condition of the environment around the lake, provide information and advice to residents, and make suggestions to the municipal council regarding bylaws and issues that affect the ecology of the lake.

These are important issues if we are to fend off pollution, uncontrolled development and a degradation of our quality of life.

Annual membership fee: $ 50.00

Trout stocking donation: $ ________

Total: $ ________

 

In Block Letters, Please
FAMILY NAME FIRST NAME
WINTER ADDRESS CITY
PROVINCE POSTAL CODE TELEPHONE
16 Island Lake ADDRESS

 

 TELEPHONE 16 Island Lake
Email Address

 

Please choose one of the following methods of payment.

Then, remit your Membership Form with your payment.

Cash

Cheque

C/O 16 Island Lake Conservation Association

(or in person to Donald Smithers)