
2008
Membership Application
Citizens
United for Lake Placid
(CULP)
P.O. Box 501
Seguin, TX.
78155
(Please print and fill out entire page, make check payable to CULP, and
mail to address above)
| Member Name(s): | _________________________________________ |
| _________________________________________ | |
| Address: | _________________________________________ |
| Phone(s): | _________________________________________ |
| Mailing Address: | _________________________________________ |
| Email: | _________________________________________ |