Online Application |

Holiday Lake Estates Civic Association Membership Application

Please complete the membership form in its entirety.
Your application will be reviewed by the HLECA Board and you'll be notified when your membership has been approved.

Form Type *

New Member

Renewal

List Adults over 18 that live in your household. *

Street Address *

Phone *

Email *

Preferred Method of Contact (Please select from the dropdown) *

Winter Residents Only

List children under 18 that live in your household.

Membership in the Holiday Lake Estates Civic Association is by initial application and payment of membership dues. Association membership dues are $25.00 annually (per adult). Checks for payment should be made out to Holiday Lake Estates Civic Association. Checks can be brought to us at a General Meeting or mailed to PO Box  3048, Holiday FL, 34691. Payments processed through PayPal carry an additional 2.5% service charge ($6.25) and should be included in your online dues payment.

As a condition of membership, I/w)e agree to abide by the Bylaws of the Holiday Lake Estates Civic Association. I/we acknowledge that there is a risk involved in using the facilities and participating in activities. I assume full responsibility for any and all injury, illness, death, damage to and/or loss of property while attending Holiday Lake Estates Events and/or Activities either at our location (3624 Atlantis Drive, Holiday, FL 34691) or a Holiday Lake Estates Civic Association sponsored event that is off-site.

Please note that all memberships prior to 2017 are from January to January and your renewal is due in January each year. All others are based on the anniversary date of your membership and your dues are due each year on your anniversary.

Applicant Signature *

Date *

For Office Use Only

Dues Paid By

Cash

Check

Money Order

PayPal

Amount Paid

Date Paid

Online Application

Holiday Lake Estates Civic Association Membership Application

You can Pay for your membership online using PayPal. Please add .65 for service fees. Total online membership is $25.65.

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The success of the HLE Civic Association depends solely on it’s participants.