Lake Bloomington | Become a Member of Lake Bloomington

Become a Member

Lake Membership

Being at Lake Bloomington is a wonderful experience. Please complete the form below if you are interested in becoming a member of the Lake Bloomington Association.
Annual dues are only $40.00!

Household Members Included In Membership

Name*

Email*

Please include your email address if you want to be informed of LBA events and receive the LBA Newsletter.

Phone

Add additional family members

Mailing Address

Address*

City*

State*

Zip*

Home Phone Number

Lake 911 Address ( if different from above )

Lake Phone Number

Do you live at the lake full time?

Yes No

Special Notes Or Comments