Date:  

Name:       Phone No: 

Street Address: 

City/State/Zip: 

Are you a Lake Chemung Riparian owner?  Yes No

Have you ever attended a L.C.R.A. meeting?  Yes No

Are you interested in actively participating in the L.C.R.A.?  Yes No

Would you consider accepting a future position on the LCRA Board?  Yes No

Do you feel that a weed management program is needed for the lake?  Yes No

Do you have any suggestions that would help improve our current weed management program?  Yes No

If you answered "Yes" to weed management suggestions, please list: 

Which of the following activities do you feel the Lake Association should sponsor?

None Golf Outing Around-the-lake Garage Sale 4th of July Boat Parade Dumpster Day Picnics and Group Social Activities Bake Sale Craft Bazaar Other--Specify in the Comments Section

If you indicated interest in L.C.R.A. activities, would you participate in said activities?  Yes No

Comments/Suggestions: 

Tell us how to get in touch with you:

Name
E-mail

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Thank you for completing this survey.