| Year: | |||
| Name and first name: | |||
| Addresse at the lake (no. and street name): |
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| Telephone at the lake: | Cell: | ||
| Email: | |||
Mailing address (if different) |
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| No. and street name: | |||
| City: | Province: | ||
| Postal code: | Telephone: | ||
| Language of correspondence: | English | Français |
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| Send my Remous: | by email |
by regular mail |
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Comments: |
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Print and send to : APLG |